— 生理適應 · EASY · MCQ —
急性胰臟炎病人最容易出現哪種電解質不平衡?
A client with acute pancreatitis is at high risk for which electrolyte imbalance?
- AHypercalcemia高血鈣
- BHypocalcemia✓ 正解低血鈣
- CHypomagnesemia低血鎂
- DHyperkalemia高血鉀
— Explanation · 中文詳解 —
急性胰臟炎時,壞死的胰臟組織釋放脂肪酸,與鈣離子結合形成皂化現象,導致血鈣濃度下降。低血鈣常見臨床表徵包括 Chvostek 徵象與 Trousseau 徵象,護理師應密切監測手足抽搐與心律不整等危險訊號。
In acute pancreatitis, necrotic pancreatic tissue releases fatty acids that bind with calcium ions to form soaps (saponification), leading to a decrease in serum calcium concentration. Common clinical manifestations of hypocalcemia include Chvostek's sign and Trousseau's sign. The nurse should closely monitor for warning signs such as tetany and cardiac arrhythmias.
✦ 台美臨床差異
台美均將監測低血鈣作為胰臟炎常規護理,但美國會更強調早期執行 Chvostek 評估。