一位急性胰臟炎病患正在接受靜脈輸液並禁食。護理師應優先向醫師報告下列哪一項評估結果？
A client with acute pancreatitis is receiving IV fluids and is NPO. Which assessment finding is the priority for the nurse to report to the healthcare provider?
- AReports of 6/10 abdominal pain主訴腹部疼痛 6/10
- BUrine output of 40 mL/hr尿量 40 mL/hr
- CAbsent bowel sounds腸鳴音消失
- DSerum calcium level of 7.2 mg/dL✓ 正解血清鈣濃度 7.2 mg/dL
急性胰臟炎常見併發症為低血鈣，正常值約 8.5-10.5 mg/dL。7.2 mg/dL 屬於嚴重低血鈣，易引發手足抽搐、喉痙攣甚至心律不整，需立即介入。禁食中腸鳴音消失為預期現象；腹痛在發炎期常見，需給予止痛；尿量 40 mL/hr 在可接受範圍。
A common complication of acute pancreatitis is hypocalcemia; the normal value is approximately 8.5-10.5 mg/dL. A level of 7.2 mg/dL represents severe hypocalcemia, which can precipitate tetany, laryngospasm, and even dysrhythmias and requires immediate intervention. Absent bowel sounds in a patient who is NPO is an expected finding; abdominal pain is common during the inflammatory phase and analgesia should be provided; and a urine output of 40 mL/hr is within an acceptable range.
台美臨床上對低血鈣的警覺性皆高，美國護理師常需依實驗室數據啟動危急值通知程序，台灣護理師則多口頭即時回報主治醫師。