— 降低風險 · MEDIUM · SATA —
護理師準備給予胰島素 glargine，需確認哪些事項？（選所有適合的）
A nurse is preparing to administer insulin glargine. Which of the following should the nurse verify? (Select all that apply.)
- AThe insulin is clear in appearance✓ 正解胰島素外觀清澈
- BThe insulin is mixed with NPH胰島素與 NPH 胰島素混合
- CThe dosage is confirmed by another nurse✓ 正解劑量已由另一位護理師確認
- DThe injection site is rotated✓ 正解注射部位已輪替
- EThe patient has a meal ready to eat病人已準備好進食
— Explanation · 中文詳解 —
Glargine 是長效型胰島素，外觀清澈，不可與其他藥物混合，否則會影響其酸鹼度與藥效。給予前需雙重核對，並定期輪替注射部位以防脂肪增生。餐食準備並非必須（Glargine 無尖峰效應），選項 B 錯誤且危險。
Insulin glargine is a long-acting, clear insulin that should never be mixed with other types, and its dosage requires verification by another nurse due to its high-alert status. Additionally, rotating injection sites helps prevent lipohypertrophy, whereas meal preparation is not strictly required as glargine has no peak effect.
✦ 台美臨床差異
美台皆將胰島素列為高危險藥物，皆嚴格執行雙重確認機制。