— 生理適應 · MEDIUM · MCQ —
尿崩症病人正在接受血管加壓素（Vasopressin）治療。護理師應監測何項指標以評估療效？
A patient with diabetes insipidus is receiving vasopressin. What should the nurse monitor to evaluate the effectiveness of the treatment?
- ABlood pressure血壓
- BBlood glucose levels血糖值
- CSerum potassium level血清鉀濃度
- DUrine specific gravity✓ 正解尿液比重
— Explanation · 中文詳解 —
尿崩症是因為抗利尿激素不足，導致大量稀釋尿液排出。血管加壓素治療後，尿液會變得濃縮，因此監測尿比重（Specific gravity）回升至正常範圍是評估療效的最直接指標。其他選項與治療效果無直接正相關。
Diabetes insipidus is caused by insufficient antidiuretic hormone, resulting in excretion of large volumes of dilute urine. After treatment with vasopressin, the urine becomes concentrated, so monitoring for the return of urine specific gravity to the normal range is the most direct indicator of therapeutic effect. The other options do not directly correlate with treatment effectiveness.
✦ 台美臨床差異
兩國臨床上均使用尿比重作為評估指標；在美國護理師較常自主執行尿液分析，台灣則常送實驗室檢驗。