護理師教導第一型糖尿病病人處理低血糖。下列哪些症狀顯示病人需要立即補充碳水化合物?(選所有適合的)
A nurse is teaching a client with Type 1 diabetes about managing hypoglycemia. Which symptoms indicate the need for immediate carbohydrate ingestion? (Select all that apply.)
- ADiaphoresis✓ 正解盜汗
- BTremors✓ 正解震顫
- CConfusion✓ 正解意識混亂
- DPolyuria多尿
- ETachycardia✓ 正解心搏過速
低血糖(Hypoglycemia)發作時,身體會啟動交感神經系統(Sympathetic Nervous System)來應對,導致腎上腺素(Epinephrine)分泌增加。臨床表現分為兩大類:一是交感神經亢進症狀,如冒汗、心跳加速、震顫;二是神經性低血糖症狀,因大腦缺乏葡萄糖而出現認知功能改變,如混亂、嗜睡甚至昏迷。護理師應優先評估這些徵兆,若個案出現上述症狀,需立即採取「15-15法則」,即補充15克快速吸收碳水化合物(如葡萄糖片、果汁),並在15分鐘後重新測量血糖,以防止嚴重神經損傷。
During an episode of hypoglycemia, the body activates the sympathetic nervous system in response, leading to increased epinephrine secretion. The clinical manifestations fall into two main categories: first, signs of sympathetic hyperactivity, such as diaphoresis, tachycardia, and tremors; and second, neuroglycopenic symptoms caused by the brain's lack of glucose, including altered cognition such as confusion, drowsiness, and even coma. The nurse should prioritize assessment for these signs; if the client exhibits the above symptoms, the "15-15 rule" should be implemented immediately — that is, give 15 grams of rapidly absorbed carbohydrate (such as glucose tablets or juice) and recheck the blood glucose in 15 minutes, in order to prevent severe neurological injury.