護理師照護一位長期使用皮質類固醇的病人。哪些監測項目是必要的?(選所有適合的)
A nurse is caring for a client receiving long-term corticosteroid therapy. Which monitoring is essential? (Select all that apply.)
- ABlood glucose levels✓ 正解血糖值
- BBone density✓ 正解骨密度
- CDaily weight✓ 正解每日體重
- DSigns of infection✓ 正解感染跡象
- ESerum uric acid血清尿酸
長期使用皮質類固醇(Corticosteroids)會對多個生理系統產生廣泛的代謝與免疫影響。護理師需透過監測血糖來預防類固醇性高血糖;評估骨密度以防長期藥物導致的骨質流失(Osteoporosis);監測體重以發現體液滯留(Fluid retention);並時刻警覺感染徵象,因其具有免疫抑制作用。這些監測項目是確保個案用藥安全與預防併發症的關鍵。
Long-term use of corticosteroids has wide-ranging metabolic and immunologic effects on multiple body systems. The nurse must monitor blood glucose to prevent steroid-induced hyperglycemia, assess bone density to detect bone loss (osteoporosis) caused by long-term therapy, monitor weight to identify fluid retention, and remain vigilant for signs of infection given the drug's immunosuppressive effects. These monitoring parameters are essential to ensure medication safety and prevent complications.