# 一位使用胰島素幫浦的個案在生病期間血糖為 338 mg/dL。根據其作用將每個措施分類。

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=522077&lang=zh-tw  
> language: zh-TW  
> subject: Adverse Effects/Contraindications/Interactions  
> category: PPT

## 題目

一位使用胰島素幫浦的個案在生病期間血糖為 338 mg/dL。根據其作用將每個措施分類。

|  | 輸注系統檢查 | 校正或備用計畫 | 升級和監測 |
| --- | --- | --- | --- |
| 檢查幫浦設定和胰島素是否正在輸注 |  |  |  |
| 檢查管路是否有扭結、洩漏、阻塞或氣泡 |  |  |  |
| 使用醫護人員指導的校正劑量 |  |  |  |
| 備妥備用注射胰島素和用品 |  |  |  |
| 根據生病日計畫重新檢查血糖 |  |  |  |
| 如果血糖未如預期改善，請聯繫醫護人員 |  |  |  |

## 解析

個案應確認血糖、檢查輸注裝置和管路、使用經授權的校正和備用計畫、密切監測，如果血糖沒有改善則尋求協助。

## 深入解析

快速解答
排除 輸注、校正和升級 的故障。

為什麼這是正確的
幫浦輸注不足會迅速導致高血糖。美國食品藥物管理局（FDA）的居家使用指南強調檢查、備用注射用品、醫護人員指導的校正和密切監測。

簡單類比或心像
將藥物安全視為一個控制面板：識別危險信號，改變正確的控制，並驗證反應。

記憶點
提示、行動、反應、再評估。

NCLEX 決策規則
選擇能預防最直接藥物相關危害，同時保留持續適應症的行動。

為什麼其他選項是錯誤的
延遲升級、忽略禁忌症或未經授權改變治療的選項，都無法完成安全循環。參考資料
1FDA: Insulin Pumps - Tips for Home Use高血糖故障排除、輸注檢查、備用用品、校正計畫和升級

## 臨床情境

藥物安全審查
核實適應症、當前評估、實驗室趨勢、時間、交互作用、授權行動和可測量的追蹤。

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