# 住院個案的血糖值為 118 mg/dL，醫囑開立早餐前注射速效胰島素。給藥前，護理師應採取下列哪項行動？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=393722&lang=zh-tw  
> language: zh-TW  
> subject: Medication Administration  
> category: PPT

## 題目

住院個案的血糖值為 118 mg/dL，醫囑開立早餐前注射速效胰島素。給藥前，護理師應採取下列哪項行動？

## 選項

1. 給胰島素並延後早餐 1 小時。
2. 將 rapid-acting insulin 與 long-acting insulin 混合。
3. 只有血糖高於 200 mg/dL 才給胰島素。
4. 確認早餐餐盤已可取得。 **✔ 正確答案**

**正確答案: 4**

## 解析

速效胰島素作用快速，應配合進食以降低低血糖風險。護理師應在給藥前確認餐點已備妥。注射胰島素後延遲進食或與長效胰島素混合均不安全，且不應以任意血糖閾值取代醫囑及機構規範。

## 深入解析

臨床判斷
給藥時間必須與起效時間和餐食可用性配合。

記憶重點
快速胰島素需要快速食物。

## 臨床情境

實務指引
Rapid-acting insulin 因起效快，需接近餐食時間給予。安全給藥包括確認胰島素時間與營養可用性。

注意
務必確認胰島素種類、劑量、血糖值與用餐狀態。

## 重要概念

- **Rapid-acting insulin** — 用於餐食覆蓋或矯正高血糖的快速起效胰島素，需注意用餐時間。
- **低血糖** — 胰島素作用未與碳水化合物攝取配合時可能發生的低血糖。
- **給藥** — 依正確個案、藥物、劑量、途徑、時間與評估安全給予藥物的過程。

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