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心理社會完整性 · HARD · SATA

下列何種徵象顯示個案出現酒精戒斷的早期跡象?(選所有適合的)

Which of the following findings would indicate that a client is experiencing early signs of alcohol withdrawal? (Select all that apply.)

  • ATremors✓ 正解
    震顫
  • BDiaphoresis✓ 正解
    盜汗
  • CAuditory hallucinations
    聽覺幻覺
  • DAgitation✓ 正解
    煩躁不安
  • ESeizures
    癲癇發作
Explanation · 中文詳解

酒精戒斷早期(通常在停止飲酒後 6-12 小時)常見交感神經亢進症狀,包括震顫、出汗、焦慮、激動、心跳過快與血壓升高。幻覺通常發生於較晚期,而癲癇發作屬於嚴重戒斷症狀,非早期表現。正確辨識早期跡象有助於提前給予預防性藥物治療,降低嚴重戒斷症狀(如震顫譫妄)的風險。

Early alcohol withdrawal (typically 6 to 12 hours after the last drink) commonly presents with sympathetic hyperactivity, including tremors, diaphoresis, anxiety, agitation, tachycardia, and elevated blood pressure. Hallucinations usually occur later, while seizures are severe withdrawal symptoms and are not early manifestations. Correctly identifying early signs allows for early prophylactic pharmacotherapy and reduces the risk of severe withdrawal symptoms (such as delirium tremens).

✦ 台美臨床差異

美國常使用 CIWA-Ar 量表評估;台灣臨床亦多引用此工具,但部分醫療資源不足地區仍仰賴主觀觀察。

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