— 心理社會完整性 · MEDIUM · SATA —
護理師應監測酒精戒斷個案的哪些症狀？（選所有適合的）
Which signs and symptoms should the nurse monitor for in a client who is withdrawing from alcohol? (Select all that apply.)
- ADiaphoresis✓ 正解盜汗
- BTachycardia✓ 正解心搏過速
- CHypotension低血壓
- DTremors✓ 正解震顫
- EHallucinations✓ 正解幻覺
— Explanation · 中文詳解 —
酒精戒斷症候群（Alcohol withdrawal syndrome）的病理機轉為中樞神經系統過度興奮。臨床表現包括交感神經亢奮徵象，如多汗、心跳過速、震顫與幻覺。護理重點在於監測意識狀態與戒斷症狀，並及時給予苯二氮平類（Benzodiazepines）藥物以預防譫妄（Delirium Tremens）。
Alcohol withdrawal causes central nervous system hyperexcitability, leading to autonomic instability. Key signs include diaphoresis, tachycardia, tremors, and potentially hallucinations in severe cases. Nurses should monitor for these symptoms and administer benzodiazepines as prescribed to prevent progression to delirium tremens.