— 基本照護與舒適 · MEDIUM · MCQ —
一位病人有姿位性低血壓。護理師應教導病人什麼？
A client is experiencing orthostatic hypotension. What should the nurse teach the client?
- AAvoid drinking water in the morning避免在早晨飲水
- BStand up quickly to improve circulation快速站起以改善循環
- CSit on the edge of the bed for a few minutes before standing✓ 正解站立前先在床緣坐幾分鐘
- DKeep the room very warm保持房間非常溫暖
— Explanation · 中文詳解 —
姿位性低血壓是因為體位改變導致血液暫時滯留於下肢。起床前在床邊坐起（C）可讓身體適應重力變化，穩定血壓。快速起身（B）會導致眩暈與跌倒，應避免。水分攝取不足（A）會導致血量降低，加重症狀；溫暖環境（D）會擴張血管加重症狀。
Orthostatic hypotension results from blood pooling in the lower extremities upon position changes. Sitting on the edge of the bed before standing allows the body to physiologically compensate for gravity, stabilizing blood pressure. Standing quickly can cause dizziness and falls, while dehydration and heat exacerbate the condition by reducing blood volume and promoting vasodilation.
✦ 台美臨床差異
兩地對姿位性低血壓的衛教原則一致，皆強調「慢動作」原則。