— 藥理與非經腸給藥 · MEDIUM · MCQ —
護理師正在進行皮下注射伊諾肝素（Enoxaparin）。下列哪項操作技術是正確的？
A nurse is administering a dose of subcutaneous enoxaparin. Which of the following is an appropriate technique?
- AMassage the injection site after administration注射後按摩注射部位
- BExpel the air bubble from the prefilled syringe排出預充式針筒內的空氣泡
- CAspirate before injecting the medication注射前進行回抽
- DInject into the lateral abdominal wall✓ 正解注射於側腹壁
— Explanation · 中文詳解 —
低分子量肝素（LMWH）如 Enoxaparin 應注射於腹部脂肪層，且不可回抽或按摩，以免造成血腫。針筒內的空氣氣泡（Air lock）是為了將藥物全部推入，不可排出。C、A 為錯誤操作，會增加出血風險。
The appropriate technique for administering subcutaneous enoxaparin involves injecting into the lateral abdominal wall to ensure consistent absorption. Nurses should not aspirate or massage the injection site, as these actions can cause tissue trauma and bruising. The air bubble in the prefilled syringe should remain in place to help seal the medication within the subcutaneous tract.
✦ 台美臨床差異
台美臨床對於 LMWH 給藥技巧皆遵循藥廠建議，護理人員對於不排出氣泡的原則需嚴格遵守。