— 藥理與非經腸給藥 · MEDIUM · SATA —
對於接受全靜脈營養（PN）的病人，哪些護理措施是適當的？（選所有適合的）
Which of the following interventions are appropriate for a client receiving parenteral nutrition (PN)? (Select all that apply.)
- ACheck blood glucose levels every 4 to 6 hours✓ 正解每 4 到 6 小時檢查血糖
- BUse a micron filter for the infusion tubing✓ 正解使用微孔過濾器連接輸液管路
- CChange the IV tubing every 24 hours✓ 正解每 24 小時更換靜脈輸液管路
- DWeigh the client daily✓ 正解每日稱量病人體重
- EHang the solution for 48 hours to save cost將溶液懸掛 48 小時以節省成本
— Explanation · 中文詳解 —
全靜脈營養含有高濃度葡萄糖與脂肪乳劑，極易孳生細菌。需使用微米過濾器，且管路需每日更換以防感染。每日量體重監測營養狀況，並定期監測血糖以預防高血糖反應。E 是錯誤的，營養液懸掛時間過長會增加細菌滋生風險。
Parenteral nutrition contains high concentrations of dextrose and lipids that readily support bacterial growth. A micron filter is required, and tubing must be changed every 24 hours to prevent infection. Daily weights monitor nutritional status, and blood glucose is checked regularly to detect hyperglycemia. Option E is wrong because hanging PN solutions for prolonged periods increases bacterial contamination risk.
✦ 台美臨床差異
台美兩地在 PN 的感染控制原則上高度一致，皆嚴格遵守無菌操作與更換頻率。