一位慢性腎臟病(CKD)病人血鉀 6.2 mEq/L,護理師應指導病人避免食用何種食物?
A client with chronic kidney disease (CKD) has a serum potassium level of 6.2 mEq/L. Which food item should the nurse instruct the client to avoid?
- AWhite bread白麵包
- BBananas✓ 正解香蕉
- CChicken breast雞胸肉
- DApples蘋果
慢性腎臟病(CKD)病人因腎絲球過濾率下降,導致鉀離子排泄障礙,極易發生高血鉀。血鉀 6.2 mEq/L 已達危險值,可能引發致命性心律不整。護理師必須指導病人嚴格限制高鉀食物,香蕉是眾所周知的高鉀水果,必須避免食用。臨床上應同時監測心電圖(ECG)變化,特別是 T 波高聳(Peaked T waves)。
A serum potassium level of 6.2 mEq/L in a client with chronic kidney disease indicates hyperkalemia, which carries a high risk of fatal cardiac arrhythmias. Bananas are high in potassium and must be strictly avoided to prevent further elevation of serum levels. The nurse should also monitor for electrocardiogram changes, such as peaked T waves, while educating the client on a low-potassium diet.
美國臨床營養師(Registered Dietitian, RD)通常會提供詳細的「腎臟飲食清單(Renal Diet List)」,護理師在衛教時會強調與 RD 的飲食計畫配合,而非僅憑護理師個人建議。