護理師照護一位新診斷為第一型糖尿病的病人,病人問:「低血糖的徵兆有哪些?」護理師應在衛教中包含哪些徵兆?(選所有適合的)
A nurse is caring for a client with newly diagnosed type 1 diabetes. The client asks, "What are the signs of hypoglycemia?" Which signs should the nurse include in the teaching? (Select all that apply.)
- ADiaphoresis✓ 正解盜汗
- BPolyuria多尿
- CTachycardia✓ 正解心搏過速
- DConfusion✓ 正解意識混亂
- EDeep, rapid respirations (Kussmaul breathing)深而快的呼吸(庫氏呼吸)
低血糖(Hypoglycemia)是糖尿病病人使用藥物後最常見的急性併發症。其機轉為血糖過低導致交感神經興奮,表現出盜汗(Diaphoresis)、心悸(Tachycardia)與顫抖;若血糖持續低下,會影響中樞神經功能,導致意識模糊(Confusion)。衛教病人識別這些徵兆,能讓病人及時補充糖分,避免發生昏迷。
Hypoglycemia is the most common acute complication in patients with diabetes after medication. The mechanism is that low blood glucose stimulates the sympathetic nervous system, producing diaphoresis, tachycardia, and tremor; if blood glucose remains low, it affects central nervous system function and leads to confusion. Teaching patients to recognize these signs allows them to promptly replenish their sugar intake and avoid progressing to coma.