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當個案在治療性胸腔穿刺術後立即出現急性呼吸困難及單側呼吸音消失時，請排列護理措施之順序。

Ordered Response

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Position for ventilation as tolerated, administer prescribed emergency oxygen to the target saturation, and continue continuous cardiorespiratory monitoring 依耐受程度調整姿勢以利通氣，依醫囑給予緊急氧氣至目標血氧飽和度，並持續進行心肺監測

Reassess respiratory status and hemodynamics frequently, inspect the procedure site, document the event and response, and complete handoff 頻繁重新評估呼吸狀態及血流動力學，檢查穿刺部位，記錄事件及反應，並完成交班

Notify the procedural or rapid-response clinician urgently and facilitate immediate bedside evaluation and chest imaging without leaving the client unattended 緊急通知處置醫師或快速反應臨床醫師，並在不離開個案的情況下，促進立即床邊評估及胸部影像檢查

Prepare for prescribed pleural decompression or chest-drain treatment if imaging and clinical findings confirm a large, progressive, or symptomatic pneumothorax 若影像及臨床發現確認有大量、持續進展或有症狀的氣胸，則準備依醫囑進行肋膜減壓或胸管引流治療

Stop any aspiration or drainage, remain with the client, call for immediate assistance, and rapidly assess airway, breathing, circulation, vital signs, oxygenation, and bilateral breath sounds 停止任何抽吸或引流，留在個案身邊，呼叫立即協助，並快速評估呼吸道、呼吸、循環、生命徵象、氧合狀態及雙側呼吸音

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