— 生理適應 · EASY · SATA —
針對低血糖的糖尿病病人，下列哪些護理措施是正確的？（選所有適合的）
Which nursing interventions are appropriate for a client with diabetes who is experiencing hypoglycemia? (Select all that apply.)
- AAdminister 15g of fast-acting carbohydrates✓ 正解給予 15 公克速效碳水化合物
- BRecheck blood glucose in 15 minutes✓ 正解15 分鐘後重新測量血糖
- CAdminister subcutaneous insulin給予皮下注射胰島素
- DGive a complex carbohydrate/protein snack✓ 正解給予複合碳水化合物/蛋白質點心
- EWait for the physician to arrive等待醫師到達
— Explanation · 中文詳解 —
低血糖處理需遵循「15-15法則」：給予 15g 快醣後，15 分鐘重新測量。若血糖恢復，則給予複雜醣類或蛋白質以維持血糖穩定。不可給予胰島素，否則會加重低血糖，且絕對不能等待醫師到來才處理，應自主執行。
Management of hypoglycemia follows the '15-15 rule': administer 15 g of fast-acting carbohydrate, then recheck blood glucose in 15 minutes. If blood glucose has recovered, provide a complex carbohydrate or protein snack to maintain stable blood sugar. Insulin must not be given as it would worsen hypoglycemia, and the nurse should never wait for the physician to arrive before acting; immediate independent action is required.
✦ 台美臨床差異
兩地均教導「15-15法則」，美國護理師對低血糖 protocol 的操作執行更為制式化。