一位第一型糖尿病病人正接受連續性靜脈胰島素輸注。哪項觀察結果需護理師立即處置？
A client with type 1 diabetes mellitus is receiving regular insulin via an infusion pump. Which observation requires immediate nurse intervention?
- AThe client reports a feeling of hunger病人報告有飢餓感
- BBlood glucose level of 140 mg/dL血糖值為 140 mg/dL
- CThe client appears diaphoretic and confused✓ 正解病人出現盜汗和意識混亂
- DBlood glucose level of 180 mg/dL血糖值為 180 mg/dL
連續性靜脈胰島素輸注過程中，最嚴重的潛在併發症是醫源性低血糖。胰島素會加速葡萄糖進入細胞，若輸注速率過快或病人飲食攝取不足，血糖會迅速下降。出汗（Diaphoresis）與意識混亂（Confusion）是低血糖的典型神經性與自主神經反應，護理師必須立即停藥並檢查血糖，這屬於保護生命安全的最優先處置。
The most serious potential complication of a continuous IV insulin infusion is iatrogenic hypoglycemia. Insulin accelerates glucose uptake into cells, and the blood glucose can fall rapidly if the infusion rate is too high or if the client's intake is inadequate. Diaphoresis and confusion are classic neurological and autonomic responses to hypoglycemia; the nurse must immediately stop the infusion and check the blood glucose, which is the priority intervention to protect life.