一位甲狀腺切除術後兩天的病人,自訴手指與嘴唇周圍有麻刺感。護理師應優先採取何種行動?
A nurse is caring for a client who is two days postoperative following a thyroidectomy. The client complains of tingling in the fingers and around the lips. What is the nurse's priority action?
- AAdminister an analgesic給予止痛藥
- BCheck the client's calcium level✓ 正解檢查病患的血鈣濃度
- CIncrease the client's IV infusion rate加快病患的靜脈輸液速率
- DReassure the client that this is expected post-surgery安撫病患表示這是術後預期現象
甲狀腺切除術後,若副甲狀腺(Parathyroid glands)在手術中被誤傷或移除,會導致副甲狀腺素(PTH)分泌不足,引發低血鈣。低血鈣的早期臨床表現為手指、腳趾及口周麻刺感(Paresthesia)。若未及時處理,可能進一步發展為喉頭痙攣(Laryngospasm)、抽搐,甚至心律不整。這是術後極需優先處理的併發症。
After thyroidectomy, if the parathyroid glands are inadvertently injured or removed during surgery, decreased secretion of parathyroid hormone (PTH) results, triggering hypocalcemia. The early clinical manifestation of hypocalcemia is paresthesia of the fingers, toes, and perioral area. If not treated promptly, it may progress to laryngospasm, tetany, or even arrhythmias. This is a postoperative complication that requires top priority.