護理師照護一位厭食症個案。出現哪些徵象會懷疑個案出現再餵食症候群?(選所有適合的)
A nurse is caring for a client with anorexia nervosa. Which findings would lead the nurse to suspect that the client is experiencing refeeding syndrome? (Select all that apply.)
- AHypophosphatemia✓ 正解低血磷血症
- BPeripheral edema✓ 正解周邊水腫
- CHyperkalemia高血鉀症
- DCardiac dysrhythmias✓ 正解心律不整
- EConfusion or seizures✓ 正解意識混亂或抽搐
再餵食症候群(Refeeding Syndrome)是厭食症恢復營養過程中常見的致命併發症。因胰島素大量分泌,電解質(磷、鉀、鎂)迅速進入細胞,導致嚴重的低血磷、水腫、心律不整及神經精神症狀(如意識混亂)。高血鉀則非其典型表徵,通常是低血鉀。
Refeeding syndrome is a common and potentially lethal complication during the nutritional rehabilitation of clients with anorexia nervosa. Because of the surge in insulin secretion, electrolytes (phosphate, potassium, magnesium) rapidly shift into the cells, producing severe hypophosphatemia, edema, cardiac dysrhythmias, and neuropsychiatric symptoms (such as confusion). Hyperkalemia is not a typical manifestation; the typical electrolyte change is hypokalemia.
在美國護理師常需參與跨專業小組協議,而台灣臨床營養師介入非常積極,護理師需密切配合監測指標。