— 藥理與非經腸給藥 · MEDIUM · MCQ —
長期服用類固醇的病人，護理師應監測哪項實驗室數值？
Which lab result should the nurse monitor for a client on long-term corticosteroid therapy?
- APotassium levels鉀離子濃度
- BHemoglobin levels血紅素濃度
- CBlood glucose levels✓ 正解血糖濃度
- DCreatinine levels肌酸酐濃度
— Explanation · 中文詳解 —
長期使用皮質類固醇（Corticosteroids）會干擾體內代謝，特別是透過促進糖質新生（Gluconeogenesis）與增加胰島素抗性來提升血糖水平。這常導致類固醇誘發性高血糖或加重既有的糖尿病。因此，監測血糖（Blood glucose levels）是長期接受類固醇治療病人的必要安全監測項目，以利及時調整治療計畫。
Long-term corticosteroid therapy stimulates gluconeogenesis and increases insulin resistance, which frequently leads to hyperglycemia. Therefore, monitoring blood glucose levels is essential to detect steroid-induced diabetes or exacerbation of existing diabetes, allowing for timely adjustments in the treatment plan.