— 藥理與非經腸給藥 · MEDIUM · SATA —
護理師教導病人自行施打皮下胰島素。病人出現哪些行為代表需要進一步教導？（選所有適合的）
A nurse is teaching a client about self-administration of subcutaneous insulin. Which actions by the client indicate a need for further teaching? (Select all that apply.)
- AInjecting into the same site for a week to improve absorption✓ 正解連續一週在同一部位注射
- BMassaging the injection site immediately after injection✓ 正解注射後立即按摩注射部位
- CRotating sites within the same anatomical area在同一解剖區域內輪替注射部位
- DCleaning the skin with an alcohol swab before injection注射前以酒精棉片清潔皮膚
- EStoring the current insulin vial at room temperature將目前使用的胰島素瓶裝保存於室溫
— Explanation · 中文詳解 —
胰島素施打原則包括：1. 必須輪替注射部位，在同一部位重複注射會導致脂肪增生（Lipohypertrophy），影響吸收；2. 不可按摩注射部位，按摩會加速藥物吸收，導致低血糖風險。室溫儲存目前使用中的胰島素是正確的，以減少冷刺激。
Insulin injection principles: 1) Rotate injection sites; repeated injections at the same site cause lipohypertrophy and impair absorption. 2) Do not massage the injection site as it accelerates absorption and increases hypoglycemia risk. Storing the in-use insulin vial at room temperature is correct to reduce cold stimulation.
✦ 台美臨床差異
台灣病人對於胰島素衛教常有「按摩會吸收較好」的誤解，護理師需加強糾正。