— 生理適應 · HARD · MCQ —
個案出現黏液水腫昏迷(myxedema coma)徵兆。護理師應預期個案處於何種生理狀態?
A client presents with signs of myxedema coma. Which physiological state should the nurse anticipate?
- AHyperglycemia高血糖
- BHyperthermia高熱
- CTachycardia心搏過速
- DHypoventilation✓ 正解通氣不足
— Explanation · 中文詳解 —
黏液水腫昏迷是嚴重甲狀腺功能低下所致的致命急症。特徵為嚴重的代謝低下,表現為低體溫、心跳過慢、意識障礙及低通氣量(Hypoventilation)。因代謝減慢,二氧化碳堆積,若不及時插管與提供甲狀腺素,易導致呼吸衰竭。
Myxedema coma is a life-threatening complication of severe hypothyroidism characterized by profound metabolic depression. This state leads to hypoventilation due to decreased respiratory drive, resulting in carbon dioxide retention and potential respiratory failure.
✦ 台美臨床差異
此為重症護理範疇,兩地皆強調需在加護病房監測,並由醫師執行靜脈給予甲狀腺素的緊急處置。