— 照護管理 · MEDIUM · MCQ —
護理師照護一位急性胰臟炎病人，病人主訴上腹部劇痛並輻射至背部。下列哪項護理措施對病人管理最關鍵？
A nurse is caring for a client admitted with acute pancreatitis. The client reports severe epigastric pain radiating to the back. Which nursing intervention is crucial for managing this client?
- AProvide a low-fat diet提供低脂飲食
- BMonitor blood glucose levels closely密切監測血糖水平
- CAdminister IV fluids aggressively✓ 正解積極給予靜脈輸液
- DAdminister opioid analgesics as needed按需給予鴉片類鎮痛劑
— Explanation · 中文詳解 —
急性胰臟炎時，胰臟發炎導致血管通透性增加，體液大量滲漏至腹腔及第三空間，可能引起嚴重的低血壓與循環衰竭。因此，積極的靜脈輸液（Aggressive IV fluids）是維持器官灌流與血壓的首要措施。雖然止痛藥（D）、低脂飲食（A）與血糖監測（B）均是必要照護，但維持體液平衡是急性期最危及生命的關鍵。
Aggressive intravenous fluid resuscitation is critical in acute pancreatitis to prevent hypovolemic shock caused by massive fluid shifts into the third space. While pain management and dietary modifications are important, maintaining hemodynamic stability and organ perfusion takes precedence as the most immediate life-saving intervention.