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生理適應 · EASY · MCQ

病人出現低血糖症狀。最適當的行動為何?

A client is experiencing symptoms of hypoglycemia. Which action is most appropriate?

  • AAdminister a long-acting insulin
    給予長效型胰島素
  • BEncourage the client to sleep
    鼓勵個案睡眠
  • CProvide a protein-rich meal
    提供富含蛋白質的餐點
  • DGive 15g of fast-acting carbohydrates✓ 正解
    給予 15g 快速作用的碳水化合物
Explanation · 中文詳解

低血糖(Hypoglycemia)的緊急處理遵循「15-15 原則」:給予 15 克快速吸收的碳水化合物(如 120ml 果汁、3-4 顆葡萄糖片),等待 15 分鐘後重新測量血糖。若血糖仍低於 70 mg/dL,則重複上述步驟。此方法可避免過度補充導致的高血糖反彈。使用長效胰島素會加重低血糖;鼓勵睡眠會錯過監測時機;蛋白質吸收緩慢,不適合作為低血糖首要補充。

Emergency management of hypoglycemia follows the 15-15 rule: administer 15 g of rapidly absorbed carbohydrate (for example, 120 mL of juice or 3-4 glucose tablets) and recheck the blood glucose after 15 minutes. If the blood glucose remains below 70 mg/dL, repeat the step. This approach avoids the rebound hyperglycemia that comes from over-treatment. Long-acting insulin would worsen hypoglycemia, encouraging sleep would miss the monitoring window, and protein is absorbed too slowly to be appropriate as the initial treatment for hypoglycemia.

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