— 藥理與非經腸給藥 · EASY · MCQ —
護理師正在為病人施打皮下肝素。下列哪項操作是正確的？
A nurse is administering a dose of subcutaneous heparin to a client. Which action is appropriate?
- AUse a 1-inch needle for the injection使用1英吋針頭進行注射
- BAspirate the syringe before injecting the medication注射藥物前抽吸注射器
- CAdminister the injection in the abdominal subcutaneous tissue✓ 正解在腹部皮下組織注射
- DMassage the site vigorously after injection注射後用力按摩注射部位
— Explanation · 中文詳解 —
皮下肝素注射應選擇腹部皮下脂肪層，避開臍周 2 英吋。回抽（B）會增加瘀青風險；按摩注射部位（D）亦會導致組織出血與瘀血；皮下注射應使用 3/8 或 1/2 英吋針頭，1 英吋針頭（A）過長可能導致肌肉內注射。
Subcutaneous heparin should be administered into the abdominal subcutaneous tissue, avoiding the area within 2 inches of the umbilicus. Aspiration and vigorous massage are contraindicated as they increase the risk of hematoma and tissue trauma, and a 1-inch needle is too long for subcutaneous injection.
✦ 台美臨床差異
台美臨床皆強調不按摩與不回抽，但台灣護理教育中對於腹部注射點的界定更為嚴格。