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生理適應 · EASY · MCQ

一位第一型糖尿病病人感到顫抖、冒汗與意識混亂。目前血糖值為 52 mg/dL。護理師優先採取哪項行動?

A client with type 1 diabetes mellitus reports feeling shaky, sweaty, and confused. The current blood glucose is 52 mg/dL. Which action is the priority?

  • AAdminister 15g of a rapid-acting carbohydrate✓ 正解
    給予 15g 快速作用的碳水化合物
  • BCall the physician immediately
    立即通知醫師
  • CWait 30 minutes and recheck glucose
    等待 30 分鐘後重新測量血糖
  • DAdminister long-acting insulin
    給予長效型胰島素
Explanation · 中文詳解

低血糖症(Hypoglycemia)定義為血糖 < 70 mg/dL。病人出現顫抖、冒汗、混亂等交感神經與腦部缺乏葡萄糖的症狀。依據低血糖處置流程(Rule of 15),護理師應立即給予 15 克快速吸收的碳水化合物(如 4 盎司果汁、葡萄糖錠),並在 15 分鐘後重新測量血糖,以避免嚴重的神經系統受損。

Hypoglycemia is defined as a blood glucose level below 70 mg/dL. The patient exhibits tremor, diaphoresis, and confusion, which are symptoms of sympathetic activation and cerebral glucose deficiency. According to the hypoglycemia management protocol (the Rule of 15), the nurse should immediately administer 15 grams of rapid-acting carbohydrate (e.g., 4 ounces of juice or glucose tablets) and recheck blood glucose 15 minutes later, in order to prevent severe neurologic injury.

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