— 藥理與非經腸給藥 · MEDIUM · MCQ —
第一型糖尿病病人於早上 07:00 注射 NPH 胰島素。護理師應在何時監測低血糖徵兆?
A client with type 1 diabetes is prescribed NPH insulin at 07:00. At what time should the nurse monitor for signs of hypoglycemia?
- A13:00 - 19:00✓ 正解13:00 - 19:00
- B09:00 - 10:0009:00 - 10:00
- C07:30 - 08:3007:30 - 08:30
- D22:00 - 02:0022:00 - 02:00
— Explanation · 中文詳解 —
NPH 胰島素屬於中效胰島素,其藥物動力學特性為起效較慢,但在給藥後 6 至 12 小時達到尖峰作用(Peak effect)。若病人在 07:00 注射,尖峰時段會落在下午至傍晚(13:00-19:00)。護理師必須了解胰島素的尖峰時間,以便在此期間密切觀察低血糖症狀,並確保病人規律進食,以避免血糖過低。
NPH insulin is an intermediate-acting agent that typically peaks 6 to 12 hours after administration. Therefore, if given at 07:00, the nurse should monitor for hypoglycemia between 13:00 and 19:00. Monitoring during other time frames would correspond to different insulin types or be outside the peak action period.