甲狀腺切除術後 6 小時。病人出現手指及嘴唇周圍麻木感。護理師應預期審閱哪項實驗室數值？
A client is 6 hours post-op from a thyroidectomy and develops tingling in the fingers and around the mouth. Which laboratory value should the nurse anticipate reviewing?
- ASerum magnesium血清鎂
- BSerum potassium血清鉀
- CSerum sodium血清鈉
- DSerum calcium✓ 正解血清鈣
甲狀腺手術中可能不慎損傷或切除副甲狀腺，導致副甲狀腺素下降，進而引發急性低血鈣。手指與口周麻木（Paresthesia）是低血鈣的早期徵兆。如果不即時處理，可能發展為手足抽搐、喉頭痙攣。監測血鈣是降低術後嚴重風險的重要環節。
During thyroid surgery, the parathyroid glands may be inadvertently damaged or removed, resulting in decreased parathyroid hormone and subsequent acute hypocalcemia. Numbness in the fingers and perioral region (paresthesia) is an early sign of hypocalcemia. If not addressed promptly, it may progress to tetany or laryngeal spasm. Monitoring serum calcium is essential for reducing serious postoperative risks.
美國醫院術後常規會測 iCa (Ionized Calcium)；台灣則多測 Total Calcium。護理監測重點一致。