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生理適應 · MEDIUM · SATA

護理師照顧一位第一型糖尿病患,下列哪些發現與糖尿病酮酸中毒(DKA)一致?(選所有適合的)

A nurse is caring for a client with type 1 diabetes mellitus. Which findings are consistent with Diabetic Ketoacidosis (DKA)? (Select all that apply.)

  • AKussmaul respirations✓ 正解
    庫斯莫爾呼吸
  • BFruity breath odor✓ 正解
    果味口臭
  • CMetabolic alkalosis
    代謝性鹼中毒
  • DPolyuria and polydipsia✓ 正解
    多尿和口渴
  • EHypokalemia before treatment
    治療前的低血鉀
Explanation · 中文詳解

DKA 特徵為高血糖、酮體產生導致代謝性酸中毒。庫斯莫耳呼吸(Kussmaul)是身體代償酸中毒的方式;爛蘋果味來自酮體分解;多尿多渴是高血糖滲透性利尿的表現。C 錯誤,應為代謝性酸中毒;E 錯誤,初期鉀離子常因細胞外移而顯現正常或偏高,治療後才會出現低血鉀。

DKA is characterized by hyperglycemia and ketone production leading to metabolic acidosis. Kussmaul respirations are the body's compensation for acidosis; the fruity breath odor results from breakdown products of ketones; and polyuria and polydipsia arise from the osmotic diuresis caused by hyperglycemia. Option C is incorrect because the disorder is metabolic acidosis, not alkalosis. Option E is incorrect because, initially, potassium shifts from the intracellular to the extracellular space, so serum potassium often appears normal or elevated; hypokalemia develops only after treatment is initiated.

✦ 台美臨床差異

無明顯差異,兩地皆遵循 ADA/EAS 糖尿病管理指引。

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