— 藥理與非經腸給藥 · EASY · SATA —
護理師欲執行皮下肝素（Heparin）注射，應採取哪些措施？（選所有適合的）
A nurse is administering subcutaneous heparin. Which interventions should the nurse perform? (Select all that apply.)
- AMassage the injection site after administration注射後按摩注射部位
- BRotate injection sites to prevent tissue damage✓ 正解輪替注射部位以預防組織損傷
- CUse a 1-inch needle for injection使用1英吋針頭進行注射
- DAssess the abdomen for bruising✓ 正解評估腹部是否有瘀青
- ECheck the activated partial thromboplastin time (aPTT)✓ 正解檢查活化部分凝血活酶時間（aPTT）
— Explanation · 中文詳解 —
皮下肝素（Heparin）注射旨在預防血栓，需注意避免出血併發症。輪替注射部位可避免局部組織損傷（如脂肪變性）。腹部是首選部位，但需避開瘀青區。不可揉搓注射處，以免引發皮下出血。aPTT 是監測肝素抗凝血效果的實驗室指標，雖然皮下給予預防劑量不一定需頻繁監測，但仍是評估整體凝血狀況的重要指標。針頭應選擇短且細的，無需 1 英吋長。
Rotate injection sites to minimize the risk of lipodystrophy and tissue damage. Assess the abdomen for bruising to detect potential bleeding complications early. Monitor the activated partial thromboplastin time (aPTT) as it is the standard laboratory value for evaluating the anticoagulant effect of heparin.