— 降低風險 · MEDIUM · MCQ —
護理師照護一位糖尿病病人。下列哪項實驗室檢驗結果應立即報告醫師？
A nurse is caring for a client with diabetes mellitus. Which laboratory result should be reported to the provider immediately?
- ABlood glucose 200 mg/dL血糖 200 mg/dL
- BBlood glucose 40 mg/dL✓ 正解血糖 40 mg/dL
- CHbA1c 6.5%糖化血色素 HbA1c 6.5%
- DBlood glucose 150 mg/dL血糖 150 mg/dL
— Explanation · 中文詳解 —
血糖 40 mg/dL 代表嚴重低血糖，隨時可能導致意識喪失、癲癇或腦損傷，必須立即處理並告知醫師以進行後續追蹤。150 與 200 mg/dL 為高血糖，需執行醫師醫囑補充胰島素，屬較不緊急之狀況。
A blood glucose level of 40 mg/dL indicates severe hypoglycemia, which can rapidly lead to loss of consciousness, seizures, or permanent brain damage. This constitutes a medical emergency requiring immediate notification of the provider and prompt treatment. While hyperglycemia requires management, it is generally less acutely life-threatening than severe hypoglycemia.
✦ 台美臨床差異
台美對於低血糖的處理 SOP 均強調「立即給予醣類補充」，並監測神經學症狀。