一位急性胰臟炎病人禁食中並接受 TPN（全靜脈營養）。護理師應優先監測哪項實驗室數據？

急性胰臟炎病人常因胰島素分泌細胞受損或發炎反應影響，導致血糖調節能力異常。全靜脈營養（TPN）溶液含有高濃度的葡萄糖與胺基酸，會對血糖造成巨大的波動與衝擊。高血糖不僅會增加感染風險，還會影響傷口癒合並導致滲透性利尿。因此，監測血糖是 TPN 護理中最關鍵的生理指標，護理師需嚴格執行血糖監測（Fingerstick blood glucose）並配合胰島素給藥。

Patients with acute pancreatitis often have impaired glucose regulation due to damage to insulin-secreting cells and the inflammatory response. Total parenteral nutrition (TPN) solutions contain high concentrations of glucose and amino acids, causing marked fluctuations and impact on blood glucose. Hyperglycemia not only increases the risk of infection but also impairs wound healing and produces osmotic diuresis. Therefore, blood glucose monitoring is the most critical physiologic parameter in TPN care, and the nurse must strictly perform fingerstick blood glucose monitoring and coordinate insulin administration accordingly.