— 生理適應 · EASY · SATA —
第一型糖尿病病人出現低血糖症狀,護理師會觀察到哪些表現?(選所有適合的)
A nurse is caring for a client with type 1 diabetes mellitus. The client is experiencing symptoms of hypoglycemia. Which manifestations should the nurse expect? (Select all that apply.)
- ADiaphoresis✓ 正解盜汗
- BTremors✓ 正解顫抖
- CPolydipsia多飲
- DTachycardia✓ 正解心搏過速
- EConfusion✓ 正解意識混亂
— Explanation · 中文詳解 —
低血糖會刺激交感神經系統,表現為冷汗(Diaphoresis)、顫抖(Tremors)與心搏過速(Tachycardia)。此外,中樞神經缺糖會導致意識混亂(Confusion)。Polydipsia(多渴)是高血糖的症狀,非低血糖表現。
Hypoglycemia stimulates the sympathetic nervous system, producing diaphoresis, tremors, and tachycardia. Central nervous system glucose deprivation leads to confusion. Polydipsia is a symptom of hyperglycemia, not hypoglycemia.
✦ 台美臨床差異
台美對於低血糖的教導一致,但在美國護理師常依據低血糖處理流程(hypoglycemia protocol)直接給藥。