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生理適應 · MEDIUM · SATA

疑有深層靜脈血栓(DVT)的病人,下列哪些措施恰當?(選所有適合的)

Which of the following interventions are appropriate for a client with a suspected DVT? (Select all that apply.)

  • ABed rest as ordered✓ 正解
    依醫囑臥床休息
  • BMassage the affected limb to promote blood flow
    按摩患肢以促進血液循環
  • CMonitor for signs of pulmonary embolism✓ 正解
    監測肺栓塞徵象
  • DKeep the extremity elevated✓ 正解
    抬高患肢
  • EApply heating pads to the calf
    在小腿處使用熱敷墊
Explanation · 中文詳解

深層靜脈血栓(DVT)照護的核心目標是防止血栓脫落導致致命的肺栓塞(PE)。臥床休息(Bed rest)能減少血流擾動,避免栓子脫落;抬高患肢利用重力促進靜脈回流,減輕水腫與不適。監測 PE 症狀(如呼吸困難、胸痛、心跳過速)是早期偵測併發症的關鍵護理介入。按摩或熱敷患處屬於禁忌行為,因為按摩可能機械性推動栓子脫落,而熱敷會導致血管擴張,增加栓子脫落進入循環的機率。

Core care for DVT focuses on preventing clot dislodgement that could result in fatal pulmonary embolism (PE). Bed rest reduces blood flow disturbance and limits embolic risk; elevation of the affected limb uses gravity to promote venous return and reduce edema. Monitoring for PE symptoms (dyspnea, chest pain, tachycardia) is key to early detection. Massage and heat are contraindicated—massage can mechanically dislodge clots, and heat causes vasodilation, increasing embolic risk.

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