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安全與感染控制 · MEDIUM · MCQ

病人預計進行意識鎮靜(conscious sedation),床邊最關鍵的安全設備為何?

A client is scheduled for a procedure requiring conscious sedation. Which is the most important safety equipment to have at the bedside?

  • AA bedside commode
    床邊便盆
  • BA warm blanket
    保暖毯
  • CA crash cart with intubation supplies✓ 正解
    備有插管設備的急救車
  • DExtra pillows for comfort
    額外枕頭以增加舒適度
Explanation · 中文詳解

意識鎮靜(Conscious Sedation / Moderate Sedation)雖然病人保持清醒且能維持呼吸道通暢,但其風險在於深度鎮靜可能導致呼吸抑制(Respiratory Depression)或呼吸道阻塞。因此,床邊必須隨時準備急救車(Crash cart),內含氣管插管設備(Endotracheal intubation supplies)、抽吸裝置(Suction)與急救藥物,以便在病人發生呼吸道緊急狀況時能立即介入。

Although the client undergoing conscious (moderate) sedation remains awake and maintains a patent airway, the risk is that deeper sedation may cause respiratory depression or airway obstruction. Therefore, a crash cart with endotracheal intubation supplies, suction, and emergency medications must be available at the bedside at all times so that the nurse can intervene immediately if a respiratory emergency occurs.

✦ 台美臨床差異

美國對於執行意識鎮靜的護理師要求必須具備 ACLS 證照,且必須有專門的護理師全程監測生命徵象(Capnography/Pulse Oximetry),台灣雖有規範但美國對於「監測」與「急救設備」的準備要求極為嚴格。

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