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第6階段 — 評估結果。審查監測下、依據醫囑治療後的12小時趨勢，並選擇最佳的解釋和下一步計畫。

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Time	Data
Recognition	RASS +2; CAM-ICU positive; BP 168/96; HR 124; RR 22; SpO2 95 percent; visual hallucinations; oriented to person onlyRASS +2；CAM-ICU陽性；血壓 168/96；心率 124；呼吸速率 22；血氧飽和度 95%；視幻覺；僅能辨識人
After initial protocol-guided IV treatment	RASS 0 to -1; BP 150/86; HR 104; RR 16; SpO2 97 percent; hallucinations stop; awakens to voiceRASS 0至-1；血壓 150/86；心率 104；呼吸速率 16；血氧飽和度 97%；幻覺停止；對聲音有反應而清醒
Hour 4	RASS 0; BP 142/84; HR 96; RR 16; SpO2 97 percent; calm; attention still fluctuates; oriented to person and placeRASS 0；血壓 142/84；心率 96；呼吸速率 16；血氧飽和度 97%；平靜；注意力仍不穩定；能辨識人與地點
Hour 12	RASS 0; BP 132/80; HR 86; RR 16; SpO2 98 percent; no hallucinations; attention sustained during conversation; oriented to person, place, and timeRASS 0；血壓 132/80；心率 86；呼吸速率 16；血氧飽和度 98%；無幻覺；交談時注意力能持續；能辨識人、地點和時間

Q1. How is the client responding to treatment?個案對治療的反應如何？

Clinically improving without current evidence of respiratory oversedation臨床上正在改善，目前沒有呼吸過度鎮靜的證據 Still severely agitated with worsening autonomic hyperactivity仍嚴重躁動，自主神經功能亢進惡化 Deteriorating from progressive hypoxemia after treatment治療後因進行性低血氧而惡化

Q2. What is the best next plan?最佳的下一步計畫是什麼？

Continue monitored objective reassessment; transition therapy only as protocol permits; revisit alternative causes if delirium persists; arrange a warm AUD-treatment handoff when cognition permits繼續監測客觀重新評估；僅在醫囑允許時才轉換治療；如果譫妄持續，重新審視其他原因；在認知允許時安排溫馨轉介至酒精使用障礙治療 Stop monitoring and discharge immediately because hallucinations have resolved停止監測並立即出院，因為幻覺已消失 Increase IV benzodiazepine until the client remains unresponsive to voice增加靜脈注射苯二氮平類藥物，直到個案對聲音無反應 Stop thiamine and cancel follow-up because the medication response proves the diagnosis停止硫胺素並取消追蹤，因為藥物反應證明了診斷

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