— 降低風險 · MEDIUM · MCQ —
哪項實驗室數值結果需要立即通知醫師?
Which lab result requires immediate notification of the provider?
- APlatelets 30,000/mm³✓ 正解血小板 30,000/mm³
- BHemoglobin 13 g/dL血紅素 13 g/dL
- CPotassium 4.0 mEq/L鉀離子 4.0 mEq/L
- DWBC 8,000/mm³白血球 8,000/mm³
— Explanation · 中文詳解 —
血小板 30,000/mm³ 屬於嚴重的血小板減少症(thrombocytopenia),病人隨時有自發性內出血的風險,特別是腦出血,這是臨床上的「危險數值」(Critical Value),必須立即通知醫師並採取出血防護措施。
A platelet count of 30,000/mm³ indicates severe thrombocytopenia, a critical value that places the client at high risk for spontaneous hemorrhage, including potentially fatal intracranial bleeding. This result requires immediate notification of the provider to initiate bleeding precautions and further medical intervention.
✦ 台美臨床差異
美台醫院皆訂有「危險數值通報機制」(Critical Value Policy),確保醫護在第一時間接獲異常報告。