Health Promotion and Maintenance

階段 6 — 評值結果。檢視呼吸趨勢並回答兩個問題。

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Time	Data
Arrival	SpO2 88% room air; PEF 30% personal best; one- to two-word speech; alert室內空氣 SpO2 88%；PEF 個人最佳值 30%；僅能說一至兩個字；警覺
1 hour	SpO2 90% on oxygen; minimal air movement; increasingly drowsy氧氣下 SpO2 90%；氣流極微弱；逐漸嗜睡
4 hours	SpO2 96% on low-flow oxygen; awake; improved air movement; speaks in sentences低流量氧氣下 SpO2 96%；清醒；氣流改善；能說完整句子
Next day	SpO2 97% room air; PEF 68% personal best; no accessory-muscle use室內空氣 SpO2 97%；PEF 個人最佳值 68%；無輔助肌使用

Q1. Which finding best shows that the acute respiratory threat is resolving?哪一項發現最能顯示急性呼吸道威脅正在緩解？

Heart rate remained elevated after albuterol使用 albuterol 後心率仍持續偏高 The child had no fever at arrival病童到院時沒有發燒 Alertness, air movement, oxygenation, speech, and peak flow all improved警覺度、氣流、氧合、說話及尖峰呼氣流量皆改善 The child received several medications病童接受了數種藥物

Q2. Which plan is most important before discharge?出院前哪一項計畫最重要？

Use only a reliever whenever symptoms recur症狀復發時僅使用緩解藥物 Verify a written action plan, controller adherence, inhaler-spacer technique, follow-up, and emergency return cues確認書面行動計畫、控制藥物遵從性、吸入器-輔助器技巧、追蹤及緊急返診警訊 Avoid all physical activity indefinitely無限期避免所有身體活動 Stop controller therapy when peak flow improves尖峰呼氣流量改善時停用控制藥物

解析

說話、氧合、氣流、警覺度及尖峰呼氣流量的改善顯示正在恢復。出院準備度還需要書面行動計畫、正確的吸入器-輔助器使用技巧、控制藥物遵從性、追蹤及返診注意事項。

相同主題的下一題The nurse is teaching a school-aged child and parent how to use an epinephrine auto-inject…

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