— 藥理與非經腸給藥 · MEDIUM · SATA —
護理師照護長期使用皮質類固醇的病人，應預期觀察到哪些臨床表現？（選所有適合的）
A nurse is caring for a client receiving long-term corticosteroid therapy. Which findings should the nurse expect to see? (Select all that apply.)
- AHypoglycemia低血糖
- BWeight gain and moon face✓ 正解體重增加與月狀臉
- CDelayed wound healing✓ 正解傷口癒合延遲
- DIncreased susceptibility to infection✓ 正解易感性感染增加
- EMuscle atrophy in extremities✓ 正解四肢肌肉萎縮
— Explanation · 中文詳解 —
長期使用皮質類固醇會導致庫欣氏症候群（Cushing's syndrome）表現：脂肪重新分佈（月亮臉）、蛋白質分解（肌肉萎縮、傷口癒合延遲）以及免疫抑制，導致感染風險增加。血糖通常會上升，而非下降。
Long-term corticosteroid therapy can produce manifestations of Cushing's syndrome: fat redistribution (moon face), protein catabolism (muscle atrophy and delayed wound healing), and immunosuppression with an increased risk of infection. Blood glucose typically rises rather than falls.
✦ 台美臨床差異
美台臨床對於此類病人的監測標準一致，皆需建立血糖監控與保護性隔離措施。