病人正在接受靜脈輸注一般胰島素,護理師應頻繁評估哪些項目?(選所有適合的)
A client is receiving an intravenous infusion of regular insulin. Which of the following should the nurse assess frequently? (Select all that apply.)
- ABlood glucose levels✓ 正解血糖濃度
- BSerum potassium levels✓ 正解血清鉀濃度
- CSigns of hypoglycemia✓ 正解低血糖徵兆
- DUrine output尿量
- ESerum creatinine血清肌酸酐
靜脈輸注胰島素作用迅速,首要風險為低血糖,需嚴密監測血糖與病人意識狀態。胰島素會驅使鉀離子進入細胞,導致血清鉀濃度下降,因此低血鉀也是治療中常見的併發症。尿量與肌酸酐雖重要,但非胰島素直接藥理影響的立即評估項目。
Intravenous regular insulin acts rapidly, and the primary risk is hypoglycemia, requiring close monitoring of the blood glucose and the client's level of consciousness. Insulin drives potassium into the cells, causing serum potassium levels to fall, so hypokalemia is also a common complication during treatment. Urine output and creatinine are important but are not immediate assessment items directly affected by the pharmacologic action of insulin.
美台均採用嚴格的胰島素輸注流程(Insulin Drip Protocol),包括電解質監測。