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
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.
兩地醫療皆重視支氣管擴張劑的即時介入與呼吸評估。