一位糖尿病患被發現意識不清，血糖值為 45 mg/dL。護理師應採取的最優先行動為何？
A client with diabetes mellitus is found unconscious with a blood glucose level of 45 mg/dL. Which intervention is the priority?
- AGive the client a glass of orange juice給病人一杯柳橙汁
- BCheck the client's blood pressure測量病人的血壓
- CPerform a neurological assessment進行神經系統評估
- DAdminister 50% dextrose IV push as prescribed✓ 正解依醫囑靜脈推注 50% 葡萄糖溶液
當糖尿病病人血糖過低（< 70 mg/dL）且意識不清時，絕對禁止給予任何口服補充，以防造成吸入性肺炎。此時首要任務是恢復中樞神經系統的能量供應。在醫院臨床環境下，靜脈推注（IV Push）50% 葡萄糖水（D50W）是恢復意識最迅速且安全的方法。護理師必須確保靜脈路徑通暢，並在給藥後持續監測生命徵象與血糖變化。
When a client with diabetes has a low blood glucose (<70 mg/dL) and is unconscious, oral supplementation is absolutely prohibited because of the risk of aspiration pneumonia. The priority is to restore energy supply to the central nervous system. In the hospital setting, IV push of 50% dextrose in water (D50W) is the most rapid and safe method to restore consciousness. The nurse must ensure IV access is patent and continue to monitor vital signs and blood glucose after administration.