— 生理適應 · EASY · MCQ —
一位第一型糖尿病病人意識喪失且冒冷汗,護理師的首要行動為何?
A client with type 1 diabetes mellitus is found unconscious and diaphoretic. What is the nurse's priority action?
- AAdminister intramuscular glucagon給予肌肉注射升糖素
- BCall for help呼叫協助
- CInsert an IV line插入靜脈導管
- DCheck blood glucose level✓ 正解檢查血糖值
— Explanation · 中文詳解 —
病人意識喪失且冒冷汗是低血糖的典型症狀。在醫療環境中,第一要務是透過血糖檢測確認低血糖狀態,以便後續正確給藥。雖然呼叫協助很重要,但在確認病況上血糖值是臨床決策的最關鍵依據,這決定了後續是注射葡萄糖水或升糖素。
When a client with type 1 diabetes is unconscious and diaphoretic, the nurse's priority is to check the blood glucose level to confirm hypoglycemia. Although calling for help and establishing IV access are important, verifying the blood sugar level is essential to determine the correct treatment, such as administering glucagon or dextrose.
✦ 台美臨床差異
無顯著差異,兩地皆遵循糖尿病緊急處置指引。