— 藥理與非經腸給藥 · MEDIUM · MCQ —
對於長期接受類固醇治療的病人，下列哪項評估最重要？
Which of the following assessments is most important for a client receiving long-term corticosteroid therapy?
- AMonitoring blood glucose levels✓ 正解監測血糖水平
- BChecking for peripheral edema檢查周邊水腫
- CEvaluating skin turgor評估皮膚彈性
- DAssessing visual acuity評估視力
— Explanation · 中文詳解 —
長期使用全身性類固醇（如 Prednisone）會影響代謝，導致糖質新生作用（Gluconeogenesis）增強，這會引發類固醇誘發性高血糖（Steroid-induced hyperglycemia）。這對糖尿病患者是致命的，對非糖尿病患者也可能引發新發糖尿病。因此，監測血糖是長期類固醇治療中防止代謝危象的最重要評估。臨床上，這類病人的血糖控制通常較為困難，需密切監控。
Long-term corticosteroid therapy significantly increases blood glucose levels through gluconeogenesis, posing a high risk for steroid-induced hyperglycemia and diabetic ketoacidosis. Therefore, monitoring blood glucose is the priority assessment to prevent metabolic crises, outweighing the importance of checking for edema or skin changes.