一位急性胰臟炎病人禁食中,護理師對於其營養狀態的優先措施為何?
A client with acute pancreatitis is NPO. What is the nurse's priority action regarding nutritional status?
- AEncourage clear liquids鼓勵攝取清流質
- BAdminister IV fluids as prescribed✓ 正解依醫囑給予靜脈輸液
- CMonitor for signs of hyperglycemia監測高血糖跡象
- DInitiate TPN immediately立即開始全靜脈營養
急性胰臟炎病人禁食(NPO)是為了讓胰臟獲得休息,減少胰臟酵素分泌,從而緩解炎症反應。在此期間,病人的優先護理目標是維持充足的循環容積與水電解質平衡,因為急性胰臟炎常伴隨大量第三空間體液流失。因此,護理師應優先執行靜脈輸液(IV fluids)的醫囑。TPN(全靜脈營養)通常在病人預期需要長期禁食時才考慮,非急性初期優先項目。
Patients with acute pancreatitis are kept NPO to rest the pancreas, decrease pancreatic enzyme secretion, and ease the inflammatory response. During this period, the priority nursing goal is to maintain adequate circulating volume and fluid and electrolyte balance, because acute pancreatitis is often accompanied by large third-space fluid losses. Therefore, the nurse should prioritize implementing the order for intravenous (IV) fluids. Total parenteral nutrition (TPN) is generally reserved for patients expected to require prolonged NPO status and is not a priority in the acute initial phase.