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降低風險 · HARD · MCQ

護理師照護一位高血鉀病人。心電圖(ECG)上會觀察到什麼?

A nurse is caring for a client with hyperkalemia. Which finding would the nurse observe on the ECG?

  • AU waves
    U波
  • BFlattened T waves
    T波扁平
  • CTall, peaked T waves✓ 正解
    高大尖銳的T波
  • DProlonged QT interval
    QT間期延長
Explanation · 中文詳解

高血鉀(Hyperkalemia)會顯著影響心肌細胞的去極化與再極化過程。心電圖(ECG)變化是高血鉀最典型的臨床指標之一。隨著血鉀水平升高,心電圖會出現一系列改變:T波變高尖(Tall, peaked T waves)、PR間期延長、QRS波變寬,甚至最終發展為正弦波(Sine wave)導致心室顫動或心跳停止。其他選項如U波與平坦T波則與低血鉀密切相關。

Hyperkalemia significantly affects myocardial cell depolarization and repolarization, making tall, peaked T waves a classic early electrocardiogram finding. As serum potassium levels rise, other changes such as prolonged PR intervals and widened QRS complexes may also occur, but peaked T waves are the most characteristic initial sign.

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