— 生理適應 · EASY · MCQ —
病人出現低血糖症狀。對於意識清醒的病人，最合適的一線治療為何？
A client presents with symptoms of hypoglycemia. What is the most appropriate first-line treatment for a conscious client?
- AWait for 30 minutes and recheck等待30分鐘後重新測量
- BAdminister 50 grams of complex carbohydrate給予50克複合碳水化合物
- CAdminister glucagon injection給予升糖素注射
- DAdminister 15 grams of fast-acting carbohydrate✓ 正解給予15克快速作用的碳水化合物
— Explanation · 中文詳解 —
對於意識清醒的低血糖病人，遵循「15-15 原則」。給予 15 克快速吸收的碳水化合物（如 120ml 果汁或葡萄糖水），等待 15 分鐘後重新測量血糖。複雜碳水化合物吸收太慢，注射升糖素適用於無意識者。
For a conscious client experiencing hypoglycemia, the standard of care is the '15-15 rule': administer 15 grams of fast-acting carbohydrates, such as fruit juice or glucose tablets, and recheck blood glucose after 15 minutes. Complex carbohydrates act too slowly for acute correction, while glucagon injections are reserved for clients who are unconscious or unable to swallow safely.
✦ 台美臨床差異
無明顯差異，皆推廣 15-15 原則。