護理師照護甲狀腺切除術後病人,術後 24 小時內最擔憂的併發症為何?
A nurse is caring for a client who has had a thyroidectomy. Which complication is the nurse most concerned about in the first 24 hours?
- AAirway obstruction✓ 正解气道阻塞
- BHypocalcemia低钙血症
- CInfection at the incision site切口部位感染
- DHyperthyroidism crisis甲状腺危象
甲狀腺切除術後,最緊急的護理優先事項是維持呼吸道通暢。由於手術部位靠近喉部,可能發生術後出血導致氣管壓迫,或因喉頭水腫引起呼吸困難。雖然低血鈣(B)是常見併發症,但在生命安全層級上,呼吸道阻塞屬於 ABC(Airway, Breathing, Circulation)中的首要,必須立即處理。
After a thyroidectomy, the most urgent nursing priority is maintaining a patent airway. Because the surgical site lies close to the larynx, postoperative bleeding can compress the trachea, and laryngeal edema can cause respiratory distress. Although hypocalcemia (B) is a common complication, in terms of life safety, airway obstruction takes precedence under the ABC (Airway, Breathing, Circulation) framework and must be addressed immediately.
兩地均強調床邊放置氣切包(Tracheostomy tray),但美國對於術後聲帶功能的評估紀錄更為嚴謹。