診斷為抗利尿激素分泌異常症候群(SIADH)的病人,下列哪些護理措施是適當的?(選所有適合的)
A client has a diagnosis of SIADH. Which nursing interventions are appropriate for this client? (Select all that apply.)
- ARestrict fluid intake✓ 正解限制水分攝取
- BAdminister IV hypertonic saline as ordered✓ 正解依醫囑給予靜脈注射高張鹽水
- CMonitor for signs of fluid overload✓ 正解監測水分過多的徵象
- DEncourage a high-sodium diet鼓勵高鈉飲食
- EIncrease IV fluid rates to maintain urine output增加靜脈注射液體速率以維持尿量
SIADH 導致水分滯留與稀釋性低鈉血症。治療重點在於嚴格限水、補充高張溶液(以提升血鈉)及監測液體超負荷現象(如肺水腫、腦水腫)。E選項增加點滴會使稀釋情況惡化;D選項雖涉及鈉攝取,但 SIADH 急性期需處理的是體液分布與血清鈉濃度,飲食調整非首要。
SIADH causes water retention and dilutional hyponatremia. Management centers on strict fluid restriction, administration of hypertonic saline (to raise serum sodium), and monitoring for signs of fluid overload (such as pulmonary or cerebral edema). Option E (increasing IV fluids) would worsen the dilution; option D (high-sodium diet), although related to sodium intake, is not the priority in acute SIADH, where management of fluid distribution and serum sodium takes precedence over dietary adjustments.
美台臨床對 SIADH 處置相似,但美國更依賴精確的 input/output 監測紀錄與每日體重變化指標。