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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。

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