— 生理適應 · EASY · MCQ —
一位病人出現低血糖症狀。哪項行動為優先？
A client is experiencing symptoms of hypoglycemia. Which action is the priority?
- AWait 30 minutes to see if symptoms resolve等待30分鐘觀察症狀是否緩解
- BGive the client a long-acting carbohydrate snack提供病人长效碳水化合物點心
- CAdminister 15 grams of a fast-acting carbohydrate✓ 正解給予15克速效碳水化合物
- DNotify the physician immediately立即通知醫師
— Explanation · 中文詳解 —
低血糖處理遵循「15-15 原則」：給予 15 克快速吸收碳水化合物，等待 15 分鐘後重新評估。選項 B 的長效食物（如花生醬麵包）因吸收慢，不適合處理急性症狀。等待半小時則錯失黃金治療時機，可能導致病人昏迷。
Management of hypoglycemia follows the '15-15 rule': give 15 grams of rapidly absorbed carbohydrate, wait 15 minutes, and reassess. The long-acting food in option B (such as peanut butter on bread) is absorbed too slowly to manage acute symptoms. Waiting 30 minutes wastes the golden treatment window and may result in the client becoming comatose.
✦ 台美臨床差異
兩地醫療機構對於「15-15 原則」的衛教完全一致。