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生理適應 · MEDIUM · SATA

下列哪些護理措施適合用於急性氣喘發作的病人?(選所有適合的)

Which nursing interventions are appropriate for a client experiencing an acute asthma attack? (Select all that apply.)

  • AAdminister high-flow oxygen
    給予高流量氧氣
  • BAdminister short-acting beta-agonists✓ 正解
    給予短效乙型交感神經刺激劑
  • CPosition the client in high-Fowler's position✓ 正解
    將病人置於高福勒氏體位
  • DMonitor SpO2 and lung sounds✓ 正解
    監測血氧飽和度與肺部聽診音
  • EEncourage deep breathing and coughing
    鼓勵深呼吸與咳嗽
Explanation · 中文詳解

急性氣喘需快速緩解支氣管痙攣,SABA(短效型支氣管擴張劑)是首選。高坐臥(High-Fowler's)能改善肺擴張,監測生理指標(SpO2, 聽診)則用於評估反應。選項A錯誤:氣喘需氧氣給予但非高流量,除非嚴重缺氧;選項E錯誤:過度強迫咳嗽在急性痙攣期可能導致呼吸過勞。

Acute asthma requires rapid relief of bronchospasm, and short-acting beta-agonists (SABAs) are first-line therapy. High-Fowler's position improves lung expansion, and monitoring physiologic parameters (SpO2, auscultation) is used to evaluate the response. Option A is incorrect: oxygen is required, but not necessarily at high flow unless there is severe hypoxemia. Option E is incorrect: forcing deep breathing and coughing during acute bronchospasm may exacerbate respiratory fatigue.

✦ 台美臨床差異

兩地醫療皆重視支氣管擴張劑的即時介入與呼吸評估。

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