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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。

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