— 藥理與非經腸給藥 · EASY · MCQ —
護理師為病人施打皮下注射依諾肝素（Enoxaparin）。下列哪項操作是正確的？
A nurse is administering a dose of subcutaneous enoxaparin to a client. Which action is appropriate?
- ARotate injection sites between the abdomen sides✓ 正解在腹部兩側之間交替注射部位
- BExpel the air bubble from the syringe排出注射器內的空氣泡
- CAspirate the syringe before injecting注射前回抽注射器
- DMassage the site vigorously after injection注射後用力按摩注射部位
— Explanation · 中文詳解 —
施打低分子肝素（LMWH）如 Enoxaparin 時，應選擇腹部兩側皮下脂肪層，且需定期輪替注射部位以預防脂肪萎縮或瘀青。不需抽取回血、不需排掉氣泡（氣泡可封住藥物）、注射後禁止揉搓以免加重皮下出血。
When administering subcutaneous enoxaparin, nurses should rotate injection sites between the left and right abdomen to prevent lipodystrophy and local skin reactions. It is important not to aspirate, massage the site, or expel the air bubble, as these actions can increase the risk of bruising or compromise the accuracy of the dose delivery.
✦ 台美臨床差異
無差異，均依循預填式注射器（pre-filled syringe）之操作規範。