對於急性胰臟炎病人,下列哪些護理措施是適當的?(選所有適合的)
Which nursing interventions are appropriate for a client diagnosed with acute pancreatitis? (Select all that apply.)
- AMaintaining NPO status✓ 正解維持禁食狀態
- BAdministering IV analgesics as ordered✓ 正解依醫囑給予靜脈止痛藥
- CAssessing for Cullen's sign✓ 正解評估庫倫氏徵象 (Cullen's sign)
- DEncouraging a high-fat diet鼓勵高脂飲食
- EMonitoring blood glucose levels✓ 正解監測血糖水準
急性胰臟炎(Acute Pancreatitis)的治療目標是讓胰臟休息(pancreatic rest)並控制發炎反應。禁食(NPO)可減少胰液分泌,靜脈給藥則提供止痛需求。Cullen's sign(腹部周圍瘀斑)與 Grey Turner's sign(側腹瘀斑)是胰臟出血或壞死的嚴重徵兆。同時,胰臟受損可能導致胰島素分泌異常,監測血糖是必要的護理常規。
The treatment goals for acute pancreatitis are to rest the pancreas and control the inflammatory response. Maintaining NPO status reduces pancreatic secretion, while intravenous administration provides analgesia. Cullen's sign (periumbilical ecchymosis) and Grey Turner's sign (flank ecchymosis) are signs of severe pancreatic hemorrhage or necrosis. Pancreatic injury can also disrupt insulin secretion, so blood glucose monitoring is an essential nursing routine.
美國臨床對於急性胰臟炎的營養支持趨勢,已從嚴格長時間禁食轉向若病人耐受性良好,早期即可給予腸內營養(Enteral nutrition),以維持腸道屏障功能。