護理師照護一位低血鉀病人,應預期進行哪些介入措施?(選所有適合的)
A client is diagnosed with hypokalemia. Which interventions should the nurse anticipate? (Select all that apply.)
- AAdminister oral potassium supplement✓ 正解給予口服鉀離子補充劑
- BMonitor cardiac rhythm via ECG✓ 正解透過心電圖監測心律
- CInfuse intravenous potassium chloride✓ 正解靜脈輸注氯化鉀
- DAssess deep tendon reflexes✓ 正解評估深層肌腱反射
- EEncourage consumption of high-potassium foods✓ 正解鼓勵攝取高鉀食物
低血鉀嚴重影響神經肌肉與心臟傳導。補鉀可由口服與靜脈途徑進行(靜脈需稀釋並嚴格監控)。心電圖監測能發現如 U 波出現或 ST 節段變化。深部腱反射會隨血鉀下降而減弱,需持續評估,同時衛教攝取高鉀食物。所有選項均為低血鉀照護標準常規。
Hypokalemia significantly affects neuromuscular and cardiac conduction. Potassium replacement may be given orally or intravenously (intravenous potassium must be diluted and given under strict monitoring). ECG monitoring can detect changes such as the appearance of U waves or ST-segment alterations. Deep tendon reflexes may diminish as potassium falls and should be continuously assessed, and the client should also be taught to consume high-potassium foods. All listed options represent standard care for hypokalemia.
美國護理師在給予靜脈鉀離子時需嚴格遵守濃度限制,台灣醫院常有藥師調配好固定劑量藥袋,差異在於給藥細節。