— 生理適應 · MEDIUM · MCQ —
一位糖尿病病患出現低血糖徵象（顫抖、冒汗、混亂）。護理師已給予 15 克簡單碳水化合物。下一項優先措施為何？
A client with diabetes mellitus is exhibiting signs of hypoglycemia (shaking, sweating, confusion). The nurse has already provided 15 grams of simple carbohydrates. What is the next priority action?
- AGive the client a high-fat protein snack immediately立即給予病人高脂蛋白質點心
- BAdminister a long-acting insulin dose給予長效型胰島素劑量
- CWait 60 minutes before retesting等待 60 分鐘後再重新檢測
- DRecheck blood glucose levels in 15 minutes✓ 正解15 分鐘後重新檢測血糖
— Explanation · 中文詳解 —
根據低血糖處置規則（15/15 規則），給予 15 克糖類後，必須於 15 分鐘後重新測量血糖。若血糖仍低於 70 mg/dL 或症狀未改善，則需重複給予 15 克糖類。此步驟是確認處置有效性的必要關鍵。
According to the management rule for hypoglycemia (the 15/15 rule), after giving 15 grams of carbohydrate the blood glucose must be rechecked 15 minutes later. If the blood glucose remains below 70 mg/dL or symptoms have not improved, another 15 grams of carbohydrate should be administered. This step is essential to confirm the effectiveness of treatment.
✦ 台美臨床差異
美國護理師常依據標準化低血糖流程執行；台灣臨床依各醫院 protocol，但在執行效率上兩地護理師皆需迅速對應。