— 藥理與非經腸給藥 · HARD · MCQ —
護理師欲執行皮下注射。對於身體脂肪量低的病人，哪部位較適合？
A nurse is administering a subcutaneous injection. Which site is most appropriate for a client with low body fat?
- AOuter upper arm上臂外側
- BUpper back上背部
- CVastus lateralis股外側肌
- DAbdominal wall✓ 正解腹壁
— Explanation · 中文詳解 —
腹部（Abdominal wall）擁有較均勻且穩定的皮下組織層，即便脂肪量少，透過 45 度角進針，也能確保藥物送入皮下而非肌肉層。上臂或大腿的肌肉層較淺，皮下層在瘦弱病人身上極薄，容易誤入肌肉，影響藥效釋放。
The abdominal wall is the most appropriate site for subcutaneous injections in clients with low body fat because it offers a consistent layer of subcutaneous tissue. This location minimizes the risk of inadvertently administering the medication into the muscle, which can occur in thinner areas like the upper arm or thigh.
✦ 台美臨床差異
台灣護理規範對於皮下注射部位選擇與美國一致，皆以腹部為優先。