— 降低風險 · EASY · MCQ —
一位有癲癇病史的病人，床邊最應該備有什麼物品？
A nurse is caring for a client with a history of seizures. Which item is most important to have at the bedside?
- AOxygen mask氧氣面罩
- BSuction equipment✓ 正解抽吸設備
- CA tongue blade壓舌板
- DA padded stretcher加墊推床
— Explanation · 中文詳解 —
癲癇發作期間或發作後，病人可能會出現口腔分泌物增多或嘔吐，導致呼吸道阻塞或吸入性肺炎。因此，保持呼吸道通暢是首要任務，床邊備妥抽吸設備以便緊急清除呼吸道異物，遠比其他選項更具保護性。壓舌板已不再建議用於癲癇病人，因為強行塞入可能導致齒部受損或氣道阻塞。
Suction equipment is the most critical item to have at the bedside for a client with a history of seizures to maintain airway patency by clearing secretions or vomitus and preventing aspiration. While oxygen is useful, ensuring a clear airway is the priority, and tongue blades are contraindicated due to the risk of dental injury and airway obstruction.
✦ 台美臨床差異
台美皆遵循癲癇發作時不強制打開嘴巴的原則，但臨床設置抽吸設備的標準一致。