— 降低風險 · EASY · SATA —
護理師指導第一型糖尿病患生病時的照護重點，應包含哪些？（選所有適合的）
A nurse is teaching a client with Type 1 diabetes about sick-day management. Which points should be included? (Select all that apply.)
- AContinue taking insulin even if unable to eat✓ 正解即使無法進食也應繼續注射胰島素
- BCheck blood glucose every 3 to 4 hours✓ 正解每 3 至 4 小時檢查血糖
- CTest urine for ketones if glucose > 240 mg/dL✓ 正解若血糖 > 240 mg/dL，則檢測尿液中的酮體
- DDrink only diet sodas to stay hydrated僅飲用無糖汽水以保持水分
- ECall the physician if vomiting persists✓ 正解若嘔吐持續，應聯繫醫師
— Explanation · 中文詳解 —
生病時身體處於壓力狀態，血糖易升高。即使進食量減少，也需繼續使用基礎胰島素，避免酮酸中毒。監測血糖需更頻繁，若血糖高於 240 mg/dL 需檢查尿酮。D 錯誤：脫水需補充液體，可含少量糖分。持續嘔吐無法進食需就醫評估。
Clients with Type 1 diabetes must continue insulin therapy during illness to prevent hyperglycemia and ketoacidosis, even if oral intake is reduced. Frequent blood glucose monitoring and ketone testing when levels exceed 240 mg/dL are essential, and persistent vomiting warrants immediate medical attention.
✦ 台美臨床差異
美國有完善的 Diabetic Sick-Day Protocol，病人常有書面衛教單；台灣較依賴返診時醫師諮詢。