— 生理適應 · HARD · MCQ —
病患出現甲狀腺風暴（Thyroid storm）症狀。護理師應優先採取哪項行動？
A client presents with symptoms of thyroid storm. Which priority action should the nurse take?
- AKeep the client in a quiet, cool environment讓病患處於安靜、涼爽的環境中
- BApply cooling blankets使用降溫毯
- CObtain vital signs every 15 minutes每 15 分鐘測量生命徵象
- DAdminister beta-blockers✓ 正解給予乙型阻斷劑
— Explanation · 中文詳解 —
甲狀腺風暴是一種生命垂危的急症。雖然冷卻與環境調整很重要，但貝他阻斷劑 (Beta-blockers) 能直接拮抗過量的甲狀腺素對心臟的過度刺激，防止致命性心律不整，是首要的藥物干預。其他選項為支持性措施。
Thyroid storm is a life-threatening emergency where beta-blockers are the priority intervention to directly antagonize the excessive stimulation of thyroid hormones on the heart and prevent fatal arrhythmias. While environmental cooling and frequent monitoring are important supportive measures, they do not address the immediate physiological threat to cardiac stability.
✦ 台美臨床差異
美台臨床對於甲狀腺風暴的處置皆強調貝他阻斷劑作為首選藥物。