— 生理適應 · MEDIUM · MCQ —
護理師照護一位急性胰臟炎病人。病人的血清澱粉酶和脂肪酶水平顯著升高。哪項護理措施最關鍵？
A nurse is caring for a client with acute pancreatitis. The client's serum amylase and lipase levels are significantly elevated. Which nursing intervention is most critical?
- AAdminister IV fluids給予靜脈輸液
- BAdminister pain medication✓ 正解給予止痛藥物
- CMonitor vital signs frequently頻繁監測生命徵象
- DProvide a low-fat diet提供低脂飲食
— Explanation · 中文詳解 —
急性胰臟炎的劇烈疼痛會引起交感神經興奮，增加代謝負荷，並可能加劇胰腺炎。有效的疼痛控制是治療的基石，能改善病人舒適度，並有助於穩定生命徵象。雖然 IV Fluids 和低脂飲食也重要，但疼痛緩解是首要考量。
Pain management is the priority because severe pain triggers sympathetic nervous system excitation, increasing metabolic stress and potentially exacerbating the condition. While IV fluids and dietary modifications are important, controlling pain is essential for patient comfort and stabilizing vital signs.
✦ 台美臨床差異
美國疼痛管理指引強調早期積極介入；台灣護理師依醫囑給予止痛藥，但病人對疼痛的口語表達和接受度可能影響處置。