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檢視開始全靜脈營養後的代謝趨勢，並判斷最安全的處置。

Trend

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Time	Data
Before nutrition	BMI 16 kg/m²; negligible intake for 10 days; phosphorus 3.2 mg/dL, potassium 3.6 mmol/L, magnesium 1.8 mg/dL; HR 84/min.BMI 16 kg/m²；10天幾乎無攝取；磷 3.2 mg/dL、鉀 3.6 mmol/L、鎂 1.8 mg/dL；心率 84次/分。
24 hours after PN begins	Phosphorus 2.0 mg/dL, potassium 3.1 mmol/L, magnesium 1.5 mg/dL; glucose 218 mg/dL; new ankle edema.磷 2.0 mg/dL、鉀 3.1 mmol/L、鎂 1.5 mg/dL；血糖 218 mg/dL；新出現腳踝水腫。
48 hours after PN begins	Phosphorus 1.1 mg/dL, potassium 2.8 mmol/L, magnesium 1.2 mg/dL; HR 122/min; increasing weakness and shallow respirations.磷 1.1 mg/dL、鉀 2.8 mmol/L、鎂 1.2 mg/dL；心率 122次/分；無力加劇且呼吸變淺。

Q1. How should the nurse interpret the trend?護理師應如何解讀此趨勢？

Expected nutritional recovery預期的營養恢復 Evolving refeeding syndrome正在演變的再餵食症候群 Isolated fluid overload unrelated to nutrition與營養無關的單純體液過量 Resolution of malnutrition營養不良已緩解

Q2. What is the priority response?優先處置為何？

Increase the calorie delivery to replace the weight faster增加熱量輸注以加速體重恢復 Continue the same infusion and recheck in one week繼續相同輸注並一週後再評估 Notify the team, reduce or pause calorie advancement, give thiamine, and replace electrolytes per protocol通知團隊，減少或暫停熱量進階，給予硫胺素，並依規範補充電解質 Treat the edema with fluid restriction alone僅以限水治療水腫

Q3. Which monitoring plan is most important during stabilization?穩定期間最重要的監測計畫為何？

Daily weight alone僅每日測量體重 Serum sodium once at discharge出院時測一次血清鈉 Weekly glucose without cardiac assessment每週測血糖，不評估心臟 Frequent phosphorus, potassium, magnesium, glucose, fluid balance, respiratory, and cardiac assessment頻繁監測磷、鉀、鎂、血糖、體液平衡、呼吸及心臟評估

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