— 降低風險 · MEDIUM · SATA —
護理師指導病人胰島素注射部位輪替，應包含哪些觀念？（選所有適合的）
A nurse is teaching a client about insulin injection site rotation. Which concepts should the nurse include? (Select all that apply.)
- ARotate sites within the same anatomical area✓ 正解在同一解剖區域內輪替注射部位
- BAvoid injecting within 1 inch of the previous site✓ 正解避免在前一次注射部位一英吋範圍內注射
- CUse the same injection site until it becomes tender使用同一注射部位直到出現觸痛
- DKeep a log of injection sites used✓ 正解記錄使用的注射部位
- EMassage the site vigorously after injection to improve absorption注射後用力按摩注射部位以促進吸收
— Explanation · 中文詳解 —
胰島素注射部位的輪替（Rotation）對於預防脂肪增生（Lipohypertrophy）或脂肪萎縮（Lipoatrophy）至關重要，這些病變會嚴重影響胰島素的吸收速率，進而導致血糖控制不穩。正確的輪替策略應包含系統化的部位紀錄與執行方式，確保注射點之間的距離，並避免過度刺激單一部位，以維持穩定的藥物動力學。
Rotation of insulin injection sites is essential for preventing lipohypertrophy or lipoatrophy, conditions that markedly affect insulin absorption and lead to unstable glycemic control. A correct rotation strategy includes systematic site documentation and execution, ensuring adequate spacing between injection points and avoiding excessive trauma to a single area in order to maintain stable pharmacokinetics.