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生理適應 · EASY · MCQ

一位急性胰臟炎病人出現劇烈腹痛,根據該疾病的病理生理學,護理師預期會發現哪項實驗室檢驗數據異常?

A client with acute pancreatitis presents with severe abdominal pain. Which laboratory finding would the nurse expect to find based on the pathophysiology of this condition?

  • AIncreased serum amylase✓ 正解
    血清澱粉酶升高
  • BIncreased serum albumin
    血清白蛋白升高
  • CDecreased white blood cell count
    白血球計數降低
  • DDecreased serum lipase
    血清脂肪酶降低
Explanation · 中文詳解

急性胰臟炎起因於胰蛋白酶在胰臟內提前活化,導致胰臟組織自我消化。此過程會導致胰澱粉酶(Amylase)與脂肪酶(Lipase)大量釋放入血。血清澱粉酶通常在發病 2-12 小時內升高,是診斷急性發作的關鍵指標。白血球通常會因為發炎反應而上升,而非下降;白蛋白則常因營養不良或滲漏而下降。

The DASH diet emphasizes the consumption of whole grains, fruits, vegetables, and low-fat dairy products to help regulate blood pressure through increased intake of potassium, calcium, and magnesium. It recommends limiting saturated fats, red meats, and sodium, rather than eliminating all fats or increasing red meat consumption. Moderate alcohol intake is advised, as excessive consumption can elevate blood pressure.

✦ 台美臨床差異

台美對於胰臟炎的檢驗項目一致,但美國護理師常需負責評估 Ranson's criteria 來預測嚴重度。

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