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階段 6 — 評估結果。檢視趨勢並找出最佳解讀與持續的優先事項。

Trend

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Time	Data
Recognition	Temperature 40.2 C; HR 132; CK 6,800; potassium 5.6; creatinine 1.7; confused with severe rigidity體溫 40.2 C；心率 132；CK 6,800；鉀離子 5.6；肌酸酐 1.7；意識混亂且嚴重僵硬
8 hours	Temperature 38.9 C; HR 112; potassium 4.9; urine output improves with prescribed fluid體溫 38.9 C；心率 112；鉀離子 4.9；依處方輸液後尿量改善
24 hours	Temperature 37.8 C; CK 3,400; creatinine 1.3; follows commands; rigidity reduced體溫 37.8 C；CK 3,400；肌酸酐 1.3；能遵從指令；僵硬減輕
48 hours	Temperature 37.1 C; HR 82; CK 780; potassium 4.2; creatinine 1.0; alert with minimal stiffness體溫 37.1 C；心率 82；CK 780；鉀離子 4.2；肌酸酐 1.0；清醒且僅輕微僵硬

Q1. Which interpretation is best supported by the 48-hour trend?哪一項解讀最受 48 小時趨勢支持？

NMS is worsening despite treatmentNMS 在治療下仍惡化 A new serotonergic syndrome is developing正在發展新的血清素症候群 The client is ready for immediate haloperidol re-exposure個案已可立即再次使用 haloperidol NMS and associated muscle and kidney injury are resolvingNMS 及相關肌肉與腎臟損傷正在緩解

Q2. Which action remains appropriate?哪一項處置仍然適當？

Stop all monitoring because the temperature is normal因體溫正常而停止所有監測 Continue prescribed cardiac, renal, electrolyte, temperature, and neurologic surveillance持續依處方監測心臟、腎臟、電解質、體溫與神經學狀態 Restart the prior haloperidol regimen without consultation未經諮詢即恢復原本的 haloperidol 療程 Encourage strenuous activity to test muscle recovery鼓勵劇烈活動以測試肌肉恢復

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