— 藥理與非經腸給藥 · MEDIUM · MCQ —
一位第二型糖尿病病人於上午 8 點接受 NPH 胰島素注射。護理師應在何時評估低血糖跡象?
A client with type 2 diabetes receives NPH insulin at 0800. At which time should the nurse assess for signs of hypoglycemia?
- A2000 to 22002000 至 2200
- B1000 to 11001000 至 1100
- C0830 to 09000830 至 0900
- D1400 to 1600✓ 正解1400 至 1600
— Explanation · 中文詳解 —
NPH 屬於中效胰島素,其作用高峰(peak)通常在給藥後 4 到 12 小時。早晨 8 點注射,高峰時間落於下午 2 點至 4 點左右,此時病人最容易發生低血糖。護理師需在此時段監測冷汗、震顫、心悸等症狀。
NPH insulin is an intermediate-acting agent with a peak effect occurring 4 to 12 hours after administration. Given at 0800, the peak activity window falls between 1400 and 1600, which is when the risk of hypoglycemia is highest. The nurse should monitor for signs of low blood sugar during this specific timeframe.
✦ 台美臨床差異
無明顯差異,皆需遵循胰島素藥理特性監測。