# 情境 學校護理師正向第1型糖尿病兒童的家長教導鼻噴胰高血糖素(3 mg)。正確指示為何?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=375087&lang=zh-tw  
> language: zh-TW  
> subject: Medical Emergencies  
> category: PA

## 題目

情境 學校護理師正向第1型糖尿病兒童的家長教導鼻噴胰高血糖素(3 mg)。正確指示為何?

## 選項

1. 將鼻噴劑冷藏，開封後 30 天後丟棄剩餘藥物。
2. 在兒童用鼻子深吸氣時按下推進器，以確保吸收。
3. 將噴頭插入一側鼻孔將推桿推到底，兒童無需吸氣。 **✔ 正確答案**
4. 給藥前，先向空氣中進行兩次測試噴霧，以確保裝置功能正常。

**正確答案: 3**

## 解析

鼻噴胰高血糖素(Baqsimi)為4歲以上重度低血糖使用之單次劑量、即用型3 mg乾粉裝置。教學重點：(1) 不可試噴或priming——會浪費唯一劑量；(2) 將噴頭插入單側鼻孔直到手指碰到鼻外，將推桿完全推入；(3) 經鼻黏膜吸收，無需吸氣，故意識不清者亦有效；(4) 將患者放置復甦體位並撥打911；(5) 室溫存放於密封塑膠收縮管內；管子開啟後粉末易吸潮須立即使用或丟棄，未開封可至印刷有效期限。本品不需冷藏。

## 深入解析

Baqsimi去除注射包的兩大障礙(重組與需要清醒合作的患者)。經黏膜吸收不需吸氣，打噴嚏或昏迷患者仍可獲得劑量。

## 重要概念

- **baqsimi** — 鼻噴粉末胰高血糖素3 mg、單次使用、無需priming
- **priming** — 以試噴讓裝置就緒的動作，Baqsimi禁止
- **nasal mucosa absorption** — 經鼻黏膜的藥物吸收，不需患者吸氣即有效

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