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護理師正在評估一名疑似水楊酸中毒的病患。哪項行動是優先事項？

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History

Vitals

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Orders

Notes

A client reports taking a large amount of aspirin 10 hours ago and now has nausea and ringing in both ears.病患報告 10 小時前服用了大量阿斯匹靈，現在出現噁心和雙耳耳鳴。

Temperature 38.1 C, HR 116/min, RR 32/min with deep respirations, BP 104/62 mm Hg.體溫 38.1 C，心率 116/分，呼吸頻率 32/分，深呼吸，血壓 104/62 mm Hg。

Salicylate concentration increased from 52 to 68 mg/dL; pH 7.47; PaCO2 24 mm Hg; bicarbonate 17 mEq/L; potassium 3.2 mEq/L; glucose 88 mg/dL.水楊酸濃度從 52 增加到 68 mg/dL；pH 7.47；PaCO2 24 mm Hg；碳酸氫鹽 17 mEq/L；鉀 3.2 mEq/L；血糖 88 mg/dL。

Poison-center consultation and sodium bicarbonate protocol are prescribed.已開立毒物中心諮詢和碳酸氫鈉方案醫囑。

The client is anxious and increasingly confused.病患焦慮且意識越來越模糊。

1 Administer prescribed sodium bicarbonate and prepare for toxicology-guided escalation while monitoring potassium and acid-base status. 給予處方碳酸氫鈉並準備在毒理學指導下升級治療，同時監測鉀和酸鹼狀態。 ✕ 2 Give an acidifying agent to increase renal salicylate reabsorption. 給予酸化劑以增加腎臟水楊酸再吸收。 ✕ 3 Delay treatment until tinnitus resolves spontaneously. 延遲治療直到耳鳴自行緩解。 ✕ 4 Suppress the respiratory rate with a sedative before obtaining consultation. 在獲得諮詢前，使用鎮靜劑抑制呼吸頻率。 ✕

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