— 生理適應 · MEDIUM · SATA —
病人被診斷為急性胰臟炎，護理計畫應包含哪些措施？（選所有適合的）
A client is diagnosed with acute pancreatitis. Which interventions should the nurse include in the plan of care? (Select all that apply.)
- AMaintain NPO status✓ 正解維持禁食狀態
- BAdminister IV fluids as prescribed✓ 正解依醫囑給予靜脈輸液
- CPosition the client in a supine position將病人置於仰臥位
- DAdminister pain relief as prescribed✓ 正解依醫囑給予止痛藥
- EMonitor blood glucose levels✓ 正解監測血糖水平
— Explanation · 中文詳解 —
急性胰臟炎核心治療為「讓胰臟休息」。禁食（NPO）與靜脈輸液（Fluid resuscitation）是為了維持循環穩定並減少胰液分泌；給予嗎啡或相關鎮痛劑處理劇痛；監測血糖是因為胰臟受損可能影響胰島素分泌導致高血糖，需密切注意。
The primary goal in managing acute pancreatitis is to rest the pancreas by maintaining NPO status and providing aggressive IV fluid resuscitation to ensure organ perfusion. Effective pain management is crucial for hemodynamic stability, and blood glucose levels must be monitored because pancreatic inflammation can impair insulin secretion and cause hyperglycemia.
✦ 台美臨床差異
台灣醫院對胰臟炎的給藥與監測相當謹慎，針對營養支持（TPN/EN）的啟動時機，依各院感染控制與營養介入流程略有差異。