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病人的鉀離子為 6.5 mEq/L。醫師可能會下達哪些藥物醫囑進行緊急介入?(選所有適合的)

A client has a potassium level of 6.5 mEq/L. Which medications might the provider order for immediate intervention? (Select all that apply.)

  • AIntravenous calcium gluconate✓ 正解
    靜脈注射葡萄糖酸鈣
  • BRegular insulin with dextrose✓ 正解
    常規胰島素併用右旋糖
  • CSodium polystyrene sulfonate✓ 正解
    聚苯乙烯磺酸鈉
  • DPotassium chloride IV push
    靜脈推注氯化鉀
  • ELoop diuretics✓ 正解
    環狀利尿劑
Explanation · 中文詳解

血鉀 6.5 mEq/L 屬於嚴重危急值,必須立即採取降低血鉀的緊急治療。葡萄糖酸鈣(Calcium gluconate)能穩定心肌細胞膜,防止心律不整。胰島素(Regular insulin)加葡萄糖(Dextrose)促使鉀離子進入細胞。聚苯乙烯磺酸鈉促進鉀排出,利尿劑加速排鉀。絕不可推注氯化鉀,否則會導致心跳停止。

For a client with a potassium level of 6.5 mEq/L, immediate interventions include administering intravenous calcium gluconate to stabilize the cardiac membrane and prevent arrhythmias. Regular insulin with dextrose is given to shift potassium into the cells, while loop diuretics and sodium polystyrene sulfonate help eliminate potassium from the body through renal excretion and the gastrointestinal tract, respectively. Intravenous potassium chloride push is strictly contraindicated as it can cause fatal cardiac arrest.

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