— 心理社會完整性 · MEDIUM · SATA —
護理師照顧一位有酒精使用障礙的個案,下列哪些症狀顯示酒精戒斷反應?(選所有適合的)
A nurse is caring for a client with a history of alcohol use disorder. Which symptoms would indicate alcohol withdrawal? (Select all that apply.)
- ADiaphoresis✓ 正解盜汗
- BTachycardia✓ 正解心搏過速
- CHypertension✓ 正解高血壓
- DBradycardia心搏過緩
- ETremors✓ 正解震顫
— Explanation · 中文詳解 —
酒精戒斷症候群(Alcohol Withdrawal Syndrome)主要是由於長期酒精抑制中樞神經後,突然停止導致中樞神經系統過度興奮(Hyper-excitability)。臨床表現多為交感神經亢進,如心跳加快、血壓升高、出汗及震顫。護理師需密切監測這些生命徵象,以防進展為戒斷性譫妄(Delirium Tremens)。
Alcohol withdrawal causes central nervous system hyper-excitability, leading to sympathetic overactivity manifested as diaphoresis, tachycardia, hypertension, and tremors. Bradycardia is not associated with withdrawal, as the condition typically results in increased heart rate and blood pressure.