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一位患有糖尿病酮酸中毒的成人，血糖 548 mg/dL、pH 7.18、鉀 3.1 mmol/L，且有庫斯莫爾呼吸。完成初始的鉀與胰島素計畫。

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The nurse should ::선택::begin prescribed potassium replacement at about 10 mmol/hstart sodium bicarbonate instead of potassiumrestrict all IV fluidsgive an oral glucose load and ::선택::start insulin immediately at full ratedelay insulin therapygive a one-time insulin bolus onlystop all glucose monitoring. Insulin can begin when potassium is ::선택::below 2.0 mmol/Lexactly 3.0 mmol/Labove 3.5 mmol/Labove 5.5 mmol/L, while the team ::선택::continue cardiac and serial electrolyte monitoringrecheck potassium only at dischargestop monitoring after one replacement doseignore respiratory muscle weakness.

護理師應 ::선택::開始醫囑的鉀補充，速率約 10 mmol/h以碳酸氫鈉取代鉀限制所有靜脈輸液給予口服葡萄糖負荷 且 ::선택::立即以全速開始胰島素延遲胰島素治療僅給予一次胰島素推注停止所有血糖監測。當鉀 ::선택::低於 2.0 mmol/L恰好 3.0 mmol/L高於 3.5 mmol/L高於 5.5 mmol/L 時可開始胰島素，同時團隊 ::선택::持續心臟與連續電解質監測僅在出院時複查鉀一次補充劑量後停止監測忽略呼吸肌無力。

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