— 降低風險 · MEDIUM · SATA —
護理師檢閱一位化療病人的實驗室報告，哪些發現應回報醫師？（選所有適合的）
A nurse is reviewing the lab results for a client receiving chemotherapy. Which finding should the nurse report to the provider? (Select all that apply.)
- APlatelet count of 45,000/mm³✓ 正解血小板計數 45,000/mm³
- BHemoglobin 13 g/dL血紅素 13 g/dL
- CWBC count of 2,000/mm³✓ 正解白血球計數 2,000/mm³
- DHematocrit 38%血容比 38%
- EAbsolute Neutrophil Count (ANC) of 800/mm³✓ 正解絕對中性球計數（ANC）800/mm³
— Explanation · 中文詳解 —
化療病人應監測骨髓抑制狀況。血小板 4.5 萬屬於低風險出血等級（需警覺）；WBC 2000 與 ANC 800 皆屬於嚴重的白血球減少與中性球減少，病患有極高的感染風險，必須立即採取保護措施並回報醫師處置。
Chemotherapy patients should be monitored for bone-marrow suppression. A platelet count of 45,000 represents a low-risk bleeding level (requiring vigilance); a WBC of 2,000 and an ANC of 800 both indicate severe leukopenia and neutropenia, placing the patient at extremely high risk of infection. Protective measures must be initiated immediately and the physician notified for further management.
✦ 台美臨床差異
美台兩地在化療病人的骨髓抑制監測與 ANC 計算（(Seg+Band)*WBC）皆遵循國際標準，對於異常值處理流程高度相似。