護理師檢視服用鋰鹽個案的追蹤資料。哪些發現需要立即追蹤?請標示出可能與鋰鹽毒性相關的發現。 | MyMerci
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Medication Administration

護理師檢視服用鋰鹽個案的追蹤資料。哪些發現需要立即追蹤?請標示出可能與鋰鹽毒性相關的發現。

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Treatment context治療情境Current finding目前發現
Lithium was taken this morning at the usual prescribed dose.今天早上已依常規處方劑量服用鋰鹽。 Vomiting and diarrhea continue, with little fluid intake today.嘔吐與腹瀉持續,今日液體攝取量很少。
The client keeps the scheduled laboratory and clinic appointments.個案依約進行檢驗與門診。 Serum lithium is 0.8 mEq/L, and mood symptoms are improving.血清鋰鹽濃度為0.8 mEq/L,情緒症狀正在改善。
The client reports no fever, diarrhea, vomiting, or heavy sweating.個案表示無發燒、腹瀉、嘔吐或大量出汗。 Daily salt intake follows the established meal plan, water is carried throughout each workday, and no dietary change is planned.每日鹽分攝取遵循既定飲食計畫,每個工作日皆隨身攜帶飲水,且無飲食調整計畫。
The client needed support while walking from the waiting room.個案從候診室走出來時需要扶持。 A coarse hand tremor and unsteady gait began this afternoon.今天下午開始出現粗大手部震顫與步態不穩。
Renal and thyroid monitoring is already scheduled for next month.腎臟與甲狀腺監測已安排在下個月。 Mild thirst is unchanged, and urine output remains consistent.輕微口渴情形未改變,尿量維持一致。
The client also reports increasing nausea and muscle weakness.個案也表示噁心與肌肉無力加劇。 Serum lithium is 1.8 mEq/L after naproxen was started this week.本週開始使用naproxen後,血清鋰鹽濃度為1.8 mEq/L。
Meals and fluid intake have remained normal for the past week.過去一週的進食與液體攝取量維持正常。 Brief nausea on the first treatment day resolved without return.治療第一天出現的短暫噁心已緩解且未再發生。
The prescribed dose and serum level have remained unchanged.處方劑量與血清濃度維持不變。 A fine hand tremor is unchanged from the previous two visits.細微手部震顫與前兩次訪視時相同。
A family member reports increasing drowsiness since yesterday.家屬表示個案自昨天起嗜睡情形加劇。 New confusion and slurred speech are present during the visit.訪視時出現新發生的意識混亂與構音不清。
解析
脫水性疾病、粗大震顫合併步態不穩、使用非類固醇消炎藥後血中濃度升高,以及新發生的意識混亂與構音不清,都可能表示鋰鹽毒性。穩定的血中濃度、一致的液體與鈉攝取量則為較安全的發現。
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