— 降低風險 · MEDIUM · MCQ —
病人因急性胰臟炎入院，護理師在評估潛在併發症時，應優先關注哪項檢驗數據？
A client is admitted with acute pancreatitis. Which laboratory finding should the nurse prioritize in the assessment of potential complications?
- ADecreased serum calcium✓ 正解血清鈣降低
- BElevated serum calcium血清鈣升高
- CElevated serum glucose血清葡萄糖升高
- DDecreased serum potassium血清鉀降低
— Explanation · 中文詳解 —
急性胰臟炎時，壞死的胰臟組織會釋出脂肪酸，與鈣離子結合形成皂化反應（Saponification），導致嚴重的低血鈣。低血鈣可能引發手足抽搐、喉頭痙攣甚至心律不整，是急性胰臟炎致命的電解質併發症，需優先監測。
Acute pancreatitis can cause hypocalcemia due to saponification, where fatty acids bind with calcium ions. This electrolyte imbalance is a serious complication that may lead to tetany or cardiac arrhythmias, requiring priority monitoring.
✦ 台美臨床差異
台美醫療系統對急性胰臟炎的監測皆高度重視鈣磷平衡，美國對 Ranson's Criteria 的依賴度在臨床決策上較為常見。