— 生理適應 · MEDIUM · SATA —
病人被診斷為低血鈣,護理師應監測哪些徵象?(選所有適合的)
A client is diagnosed with hypocalcemia. Which signs should the nurse monitor for? (Select all that apply.)
- ATrousseau's sign✓ 正解Trousseau 徵象
- BChvostek's sign✓ 正解Chvostek 徵象
- CMuscle twitching✓ 正解肌肉抽搐
- DLaryngeal stridor✓ 正解喉頭喘鳴
- EHypoactive bowel sounds腸蠕動音減弱
— Explanation · 中文詳解 —
低血鈣導致神經肌肉過度興奮。特魯索氏徵象(Trousseau's)與楚氏徵象(Chvostek's)為臨床特徵。肌肉抽搐甚至喉部痙攣(Stridor)可能危及呼吸。腸蠕動通常會因過度興奮而增加,而非減少。
Hypocalcemia causes increased neuromuscular excitability. Trousseau's and Chvostek's signs are characteristic clinical findings. Muscle twitching and even laryngeal spasm (stridor) can compromise breathing. Bowel motility usually increases due to hyperexcitability rather than decreasing.
✦ 台美臨床差異