— 生理適應 · EASY · MCQ —
一位診斷為急性胰臟炎的病人，下列哪項飲食建議是護理的首要介入？
A client is diagnosed with acute pancreatitis. Which dietary recommendation is the priority nursing intervention?
- ABegin a low-fat, high-fiber diet開始低脂高纖飲食
- BIncrease protein intake增加蛋白質攝取
- CMaintain NPO status✓ 正解維持禁食狀態
- DEncourage clear liquids鼓勵攝取清流質
— Explanation · 中文詳解 —
急性胰臟炎治療的核心為「讓胰臟休息」，因此首要措施是禁食（NPO），以減少胰臟消化酵素的分泌，避免胰臟進一步自我消化造成組織損傷。病人通常需搭配靜脈輸液維持電解質平衡，直到腹痛緩解及澱粉酶數值恢復正常。
The core treatment for acute pancreatitis is to rest the pancreas, so NPO is the first priority to reduce digestive enzyme secretion and prevent further auto-digestion of pancreatic tissue. IV fluids maintain electrolyte balance until abdominal pain resolves and amylase returns to normal.
✦ 台美臨床差異
美台臨床皆遵循 NPO 原則，但美國目前傾向若病人耐受性佳，較早開始腸內營養。