病人經由中央靜脈導管接受全靜脈營養（TPN）。護理師發現營養液袋已空，而新袋尚未送達。為了預防併發症，護理師應掛上什麼？
A client is receiving total parenteral nutrition (TPN) via a central line. The nurse notes the TPN solution bag is empty and the new bag has not yet arrived. What should the nurse hang to prevent complications?
- A0.45% Sodium Chloride0.45% 氯化鈉
- B10% Dextrose in water✓ 正解10% 葡萄糖水
- C0.9% Normal Saline0.9% 生理食鹽水
- DLactated Ringer's solution乳酸林格氏液
全靜脈營養（TPN）含有高濃度的葡萄糖與胺基酸，病人若長期接受 TPN，體內胰島素分泌會隨之調整。一旦突然中斷 TPN，胰島素濃度仍處於高檔，極易導致反彈性低血糖（Rebound hypoglycemia）。若新袋尚未送達，護理師必須立刻掛上含有葡萄糖的溶液以維持血糖水平。臨床上通常會預備 D10W（10% Dextrose in water）作為過渡，直到 TPN 到達。
Total parenteral nutrition contains high glucose levels, causing the body to adapt with increased insulin secretion; abrupt discontinuation can lead to rebound hypoglycemia. Therefore, if TPN is unavailable, 10% dextrose in water (D10W) should be hung immediately to maintain blood glucose levels until the new bag arrives.
在美國臨床，TPN 溶液通常由藥局（Pharmacy）調配，若發生缺貨或延遲，護理師會立即聯繫藥局並依據單位 Protocol 掛上 D10W，此為標準的預防性護理措施。