一位第一型糖尿病病人意識不清，血糖值為 35 mg/dL。護理師應先採取何種行動？
A client with type 1 diabetes is found unresponsive. The blood glucose level is 35 mg/dL. Which action should the nurse take first?
- AGive oral orange juice給予口服柳橙汁
- BCheck the client's urine for ketones檢查個案尿液中的酮體
- CPerform a finger-stick blood glucose test進行指尖血糖檢測
- DAdminister 50% dextrose IV push✓ 正解靜脈推注給予 50% 葡萄糖
針對意識不清且血糖極低的病人，首要考量是保護呼吸道安全並迅速糾正低血糖。病人意識喪失時，吞嚥反射受抑制，強行給予口服食物會導致嚴重誤吸（Aspiration）。靜脈輸注 50% 葡萄糖（D50W）能最快提升腦部血糖濃度，恢復意識。護理師必須評估靜脈管路暢通性，若無 IV，則需考慮給予肌肉注射升糖素（Glucagon）。
For an unresponsive client with severely low blood glucose, the first considerations are to protect the airway and rapidly correct the hypoglycemia. When consciousness is impaired, the swallowing reflex is suppressed, and forcing oral feeding may result in severe aspiration. Intravenous 50% dextrose (D50W) most rapidly raises cerebral glucose and restores consciousness. The nurse must assess IV patency; if no IV access is available, intramuscular glucagon should be considered.