— 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 wavesU波
- BFlattened T wavesT波扁平
- CTall, peaked T waves✓ 正解高大尖銳的T波
- DProlonged QT intervalQT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.