— 藥理與非經腸給藥 · MEDIUM · SATA —
護理師執行皮下胰島素注射，哪些步驟是正確的？（選所有適合的）
A nurse is administering subcutaneous insulin to a client. Which actions are correct? (Select all that apply.)
- ARotate injection sites to prevent lipodystrophy✓ 正解輪替注射部位以預防脂肪營養不良
- BMassage the site after injection注射後按摩注射部位
- CVerify the insulin type and dosage with another nurse✓ 正解與另一位護理師核對胰島素類型與劑量
- DPinch a skin fold for thinner clients✓ 正解為較瘦的病人捏起皮膚摺
- EAspirate before injecting the insulin注射胰島素前回抽
— Explanation · 中文詳解 —
胰島素注射需輪替部位以防脂肪組織萎縮，且需經過雙人核對。瘦弱病人需捏起皮膚以確保藥物注入皮下層。按摩注射部位會加速吸收，可能導致低血糖，應避免。回抽動作在胰島素注射中已不再建議，因為皮下注射回抽無實質安全價值。
Correct administration includes rotating injection sites to prevent lipodystrophy, verifying the insulin type and dose with another nurse for safety, and pinching the skin fold in thinner clients to ensure subcutaneous delivery. Massaging the site can alter absorption rates unpredictably, and aspiration is no longer recommended for subcutaneous injections.
✦ 台美臨床差異
台美針對高警訊藥物（如胰島素）皆採取強制雙人核對機制。