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當急性中風個案在床邊吞嚥篩檢期間咳嗽時，請依序排列護理措施。

Ordered Response

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Stop the screen and withhold food, fluids, and oral medications. 停止篩檢並暫停給予食物、液體和口服藥物。

Document the failed screen, the client's response, and the notifications made. 記錄篩檢失敗、個案的反應以及已通知的事項。

Notify the provider and request a formal swallowing evaluation according to the stroke protocol. 通知醫療照護提供者，並根據中風流程要求正式的吞嚥評估。

Keep the client upright and suction oral secretions if the client cannot clear them. 保持個案直立，若個案無法清除口腔分泌物則進行抽吸。

Assess airway patency, oxygen saturation, respiratory effort, voice quality, and lung sounds. 評估呼吸道通暢度、血氧飽和度、呼吸用力程度、聲音品質和肺部呼吸音。

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