護理師教導病人自行施打長效胰島素(Glargine)。哪項說明顯示病人已理解指導內容?
A nurse is teaching a client about self-administration of insulin glargine. Which statement indicates the client understands the instructions?
- AI should take this once daily at the same time✓ 正解我應該每天在同一時間服用一次
- BI will mix this with my short-acting insulin in the same syringe我會將此藥物與我的短效胰島素混合在同一支針筒中
- CI will inject this medication after my meals我會在我的飯後注射此藥物
- DI will rotate the vial vigorously before drawing up the dose我在抽取劑量前會劇烈搖晃藥瓶
Insulin Glargine 是一種長效胰島素,其作用特點為「無尖峰值」(Peakless),可提供穩定的 24 小時基礎胰島素需求。因此,每日固定時間注射一次(A)是維持血糖穩定的關鍵。Glargine 因其酸性 pH 值,不可與其他胰島素混合(B),否則會產生沉澱並影響藥效。此外,Glargine 不建議劇烈震盪(D),因其為溶液狀,無須像混懸液般搖晃。
Insulin glargine is a long-acting insulin characterized by its peakless action, providing a stable 24-hour basal insulin supply. Therefore, injecting it once daily at the same time (A) is key to maintaining steady glucose control. Because of its acidic pH, glargine cannot be mixed with other insulins (B), as doing so causes precipitation and impairs efficacy. In addition, glargine should not be vigorously shaken (D); it is a solution and does not require shaking like suspensions.