— 藥理與非經腸給藥 · MEDIUM · SATA —
護理師給予病人胰島素 Lispro 時，應採取哪些措施？（選所有適合的）
Which of the following actions should the nurse take when administering insulin lispro to a client? (Select all that apply.)
- AAdminister the dose within 15 minutes of a meal✓ 正解在用餐前15分鐘內給藥
- BMonitor for hypoglycemia within 1-3 hours✓ 正解監測1-3小時內的低血糖症狀
- CDraw the insulin into a syringe after mixing with NPH與NPH混合後將胰島素吸入注射器
- DVerify the glucose level before administration✓ 正解給藥前確認血糖值
- EEnsure the patient has food available✓ 正解確保病人有食物可用
— Explanation · 中文詳解 —
胰島素 Lispro 為超短效胰島素，起效極快，因此必須在餐前或餐中給予，並確保病人有足夠的碳水化合物攝取，以防低血糖。與 NPH 混和時應遵循清澈到混濁的順序，但一般不建議預先混和存放。監測低血糖是所有胰島素給藥後的重點。
When administering insulin lispro, the nurse should verify the glucose level, ensure food availability, administer the dose within 15 minutes of a meal, and monitor for hypoglycemia within 1 to 3 hours. Because lispro is rapid-acting, precise timing with meals and vigilant monitoring for peak-effect hypoglycemia are essential for client safety.
✦ 台美臨床差異
美國常使用胰島素筆型注射器，台灣住院病人則多由護理師抽藥並進行血糖核對。