護理師準備給予病人胰島素 Lispro。下列哪項措施是正確的？
A nurse is preparing to administer insulin lispro to a client. Which action is correct?
- AEnsure the meal is available before administering the insulin✓ 正解確保在給予胰島素前餐點已就緒
- BAdminister the insulin 30 minutes before the meal在餐前 30 分鐘給予胰島素
- CAdminister the insulin immediately after the meal在餐後立即給予胰島素
- DMix the insulin with NPH in the same syringe在同一支注射器中將胰島素與 NPH 混合
胰島素 Lispro 屬於速效型胰島素，起效時間極快（約 15 分鐘）。若病人注射後未進食，極易引發低血糖反應。因此，臨床原則是「盤到床邊，再打胰島素」。B 選項不適用於速效型，通常用於短效（Regular）；D 選項速效胰島素雖可與中效混和，但非給藥時的首要安全原則。
Insulin lispro is a rapid-acting insulin with an extremely fast onset (about 15 minutes). If the client receives the injection without eating, hypoglycemia can easily occur. Therefore, the clinical principle is 'tray at the bedside before insulin is administered.' Option B is not applicable to rapid-acting insulin and is typically used for short-acting (regular) insulin; in option D, although rapid-acting insulin can be mixed with NPH, this is not the primary safety priority at the time of administration.
台灣醫院多強調核對血糖值與餐點送達時間；美國則更強調病人自我監測與衛教。