心導管術後病患最重要的評估為何？

心導管術後的核心護理重點在於監測穿刺部位的血管併發症。由於術中需經動脈穿刺，最嚴重的潛在風險為出血、血腫或血栓形成，進而導致遠端組織缺血。評估穿刺點遠端的周邊脈搏（Peripheral pulses）是評估組織灌流（Perfusion）最直接且客觀的指標，若脈搏減弱或消失，暗示血管可能被血栓阻塞。護理師應採取「安全性」與「ABC」原則，血管循環受損會直接導致肢體壞死，故為首要評估指標。其他選項雖重要，但屬於常規生命徵象監測或非緊急併發症的預警。

Post-cardiac catheterization nursing centers on monitoring vascular complications at the puncture site. Because arterial puncture is required during the procedure, the most serious potential risks are bleeding, hematoma, or thrombus formation, which can lead to ischemia of distal tissue. Assessing peripheral pulses distal to the puncture site is the most direct and objective indicator of tissue perfusion; a diminished or absent pulse suggests possible vascular occlusion by a thrombus. The nurse should apply the "safety" and "ABC" principles, because impaired vascular circulation directly threatens limb viability and is therefore the priority assessment. Although the other options are important, they pertain to routine vital sign monitoring or earlier warning of less-urgent complications.