— 生理適應 · EASY · MCQ —
一名急性胰臟炎病人禁食並接受靜脈輸液。護理師應優先監測哪種電解質不平衡?
A client with acute pancreatitis is NPO and receiving IV fluids. Which electrolyte imbalance should the nurse prioritize monitoring?
- AHypomagnesemia低血鎂
- BHyponatremia低血鈉
- CHypocalcemia✓ 正解低血鈣
- DHyperkalemia高血鉀
— Explanation · 中文詳解 —
急性胰臟炎導致胰臟酵素外洩至周邊組織,脂肪壞死會結合鈣離子,造成血鈣濃度下降。低血鈣(Hypocalcemia)引發的神經肌肉興奮性增加(如 Trousseau's sign 或 Chvostek's sign)是常見的威脅生命的併發症,需密切觀察。
In acute pancreatitis, pancreatic enzymes leak into the surrounding tissues; fat necrosis binds calcium ions and causes a decrease in serum calcium. The increased neuromuscular excitability caused by hypocalcemia (manifested by signs such as Trousseau's sign or Chvostek's sign) is a common life-threatening complication that requires close observation.
✦ 台美臨床差異
台美均將低血鈣視為重點,但美國護理師對 Trousseau's sign 的床邊評估執行率通常較高。