— 生理適應 · EASY · MCQ —
病人被診斷為急性胰臟炎，急性期最高優先級的飲食限制為何？
A client is diagnosed with acute pancreatitis. Which dietary restriction is the highest priority during the acute phase?
- ALow-protein diet低蛋白飲食
- BHigh-fat diet高脂飲食
- CNPO (Nothing by mouth)✓ 正解NPO（禁食）
- DHigh-fiber diet高纖維飲食
— Explanation · 中文詳解 —
急性胰臟炎治療的核心是讓胰臟休息，禁止進食可停止胰臟消化酶的過度分泌，緩解疼痛並防止病情加重。待疼痛緩解後再逐步恢復飲食，初期以清淡流質開始，並嚴格避開刺激性食物與油脂，若未嚴格執行禁食將誘發更嚴重的發炎反應。
Keeping the client NPO is the priority intervention to rest the pancreas and prevent the secretion of digestive enzymes that exacerbate inflammation. This approach helps reduce abdominal pain and minimizes the risk of further pancreatic injury during the acute phase of the illness.
✦ 台美臨床差異
美國採取醫護協同管理，台灣對於禁食期評估較依賴醫師醫囑，護理師需監測腹痛程度。