— 心理社會完整性 · EASY · MCQ —
厭食症患者最容易出現哪種電解質不平衡？
A client with anorexia nervosa is at high risk for which electrolyte imbalance?
- AHypomagnesemia低鎂血症
- BHyperkalemia高鉀血症
- CHypokalemia✓ 正解低鉀血症
- DHypercalcemia高鈣血症
— Explanation · 中文詳解 —
厭食症患者常因嘔吐、濫用瀉藥或利尿劑導致流失大量鉀離子，這可能引發致命性的心律不整。護理師需監測心電圖變化與血清電解質數值，並關注是否有肌肉無力、噁心或意識改變等徵兆，這些皆為電解質嚴重失衡的臨床指徵。
Clients with anorexia nervosa often lose large amounts of potassium through vomiting or abuse of laxatives or diuretics, which can precipitate lethal cardiac arrhythmias. The nurse must monitor ECG changes and serum electrolyte values and watch for signs such as muscle weakness, nausea, or altered consciousness, all of which are clinical indicators of severe electrolyte imbalance.
✦ 台美臨床差異
在台灣，厭食症治療多由精神科與營養師團隊合作，個案常因脫水或心臟症狀先至急診。