# 情境 第1型糖尿病患者的配偶正在學習家用胰高血糖素急救包的使用方法。配偶哪個陳述顯示理解正確?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=375086&lang=zh-tw  
> language: zh-TW  
> subject: Medical Emergencies  
> category: PA

## 題目

情境 第1型糖尿病患者的配偶正在學習家用胰高血糖素急救包的使用方法。配偶哪個陳述顯示理解正確?

## 選項

1. 我會把藥注射到大腿肌肉，然後撥打911並讓患者側躺。 **✔ 正確答案**
2. 我會以口服方式給予注射，以使其更快生效，然後撥打911並將該人側躺。
3. 如果在5分鐘後沒有反應，我會在另一側大腿注射第二劑，並等待再撥打911。
4. 我會在注射後等待30分鐘再撥打911，以觀察該人是否改善或給予第二劑。

**正確答案: 1**

## 解析

居家重度低血糖且患者意識不清無法安全吞嚥時，一般施救者使用胰高血糖素注射包步驟為：(1) 傳統包需先重組粉末，(2) 1 mg IM或SC於大腿前外側、三角肌或臀部，(3) 因嘔吐常見，採側臥復甦體位，(4) 立即撥打911，(5) 患者清醒可吞嚥後給速效碳水化合物加複合碳水蛋白點心防反跳性低血糖。胃腸會分解胰高血糖素故絕不口服。若無反應第二劑於15分鐘後而非5分鐘。不可延遲911通報。

## 深入解析

選項2包含一般施救者的三個優先行動（IM注射、側臥、立即911）。胰高血糖素作用短暫且不解決病因，必須搭配EMS啟動。

## 重要概念

- **glucagon** — 分解肝糖原升高血糖的激素，重度低血糖急救藥
- **severe hypoglycemia** — 伴意識障礙、抽搐或吞嚥困難的低血糖，需他人協助
- **lateral recovery position** — 嘔吐時防誤吸的側臥復甦體位

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