— 生理適應 · MEDIUM · MCQ —
護理師照顧一位有酒精使用障礙病史的病人。應預期給予哪種藥物以預防魏尼克-科薩科夫症候群？
A nurse is caring for a client with a history of alcohol use disorder. Which medication should the nurse anticipate administering to prevent Wernicke-Korsakoff syndrome?
- AThiamine✓ 正解硫胺素
- BFolic acid葉酸
- CLorazepam勞拉西泮
- DMagnesium sulfate硫酸鎂
— Explanation · 中文詳解 —
酒精使用障礙常導致維生素 B1（硫胺素，Thiamine）缺乏。若未在給予葡萄糖溶液前先補充 B1，可能引發嚴重的神經病變，即魏尼克-科薩科夫症候群。因此，針對此類病人，補充 Thiamine 是預防神經不可逆損傷的標準護理常規。
Alcohol use disorder commonly causes thiamine (vitamin B1) deficiency. If glucose is given before thiamine replacement, the patient may develop Wernicke-Korsakoff syndrome, a severe and potentially irreversible neurologic disorder. Therefore, thiamine supplementation is the standard nursing protocol to prevent permanent neurologic injury in these clients.
✦ 台美臨床差異
台美兩地對酒精戒斷病人的補充規範一致，皆強調「先給 B1 後給糖」的關鍵順序。