一位急性胰臟炎病人處於禁食狀態並給予靜脈輸液，下列何種評估發現是護理師需優先回報給醫師的？
A client with acute pancreatitis is NPO and receiving IV fluids. Which assessment finding is the priority for the nurse to report to the healthcare provider?
- ASerum calcium level of 7.2 mg/dL✓ 正解血清鈣濃度為 7.2 mg/dL
- BReports of 4/10 abdominal pain intensity主訴腹部疼痛強度為 4/10
- CAbsent bowel sounds in all four quadrants四個象限均無腸鳴音
- DUrine output of 40 mL per hour每小時尿量為 40 mL
急性胰臟炎常伴隨低血鈣，正常值為 8.5-10.5 mg/dL。7.2 mg/dL 代表嚴重低血鈣，會增加心律不整及抽搐風險，是危及生命的生理變化，需立即處理。A（腸音消失）是胰臟炎常見症狀；C（疼痛）需處理但不像低血鈣般立即致命；D（尿量）正常。
Acute pancreatitis is often accompanied by hypocalcemia; normal calcium is 8.5-10.5 mg/dL. A value of 7.2 mg/dL represents severe hypocalcemia, which increases the risk of arrhythmias and seizures – a life-threatening physiological change that requires immediate intervention. A (absent bowel sounds) is a common symptom in pancreatitis; C (pain) requires management but is not immediately fatal like hypocalcemia; D (urine output) is normal.
美台對低血鈣的緊急處理流程相似，但在美國護理師常需依據緊急 Protocol 先執行監測並通知，台灣則較依賴醫師立即開立鈣補充劑。