— 生理適應 · MEDIUM · MCQ —
下列哪種電解質不平衡最常見於慢性酒精中毒的個案?
Which electrolyte imbalance is most commonly associated with chronic alcoholism?
- AHyperkalemia高鉀血症
- BHyponatremia低鈉血症
- CHypercalcemia高鈣血症
- DHypomagnesemia✓ 正解低鎂血症
— Explanation · 中文詳解 —
慢性酒精中毒(Chronic Alcoholism)會導致嚴重的營養代謝障礙。長期飲酒會增加腎臟對鎂的排泄,加上營養攝取不足,常導致低鎂血症(Hypomagnesemia)。低鎂血症會干擾鉀與鈣的代謝,導致難以矯正的低鉀與低鈣血症。臨床上,這類病人常伴隨震顫譫妄(Delirium Tremens),護理師需特別注意電解質監測。
Chronic alcoholism is most commonly associated with hypomagnesemia due to poor nutritional intake and alcohol-induced renal magnesium wasting. This electrolyte imbalance often complicates the correction of concurrent hypokalemia and hypocalcemia because magnesium is essential for potassium and calcium homeostasis. Therefore, monitoring and replacing magnesium levels are crucial in managing clients with a history of chronic alcohol use.