# 一位65歲的第1型糖尿病病人被發現倒在地上且無反應。床邊血糖值為35 mg/dL。病人已有靜脈管路。護理師應優先採取哪一項處置？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=375041&lang=zh-tw  
> language: zh-TW  
> subject: Adverse Effects/Contraindications/Interactions  
> category: PA

## 題目

一位65歲的第1型糖尿病病人被發現倒在地上且無反應。床邊血糖值為35 mg/dL。病人已有靜脈管路。護理師應優先採取哪一項處置？

## 選項

1. 肌肉注射 glucagon 1 mg 以快速升高血糖，然後在10分鐘後重新檢查；如果仍然偏低，重複給予劑量；將個案置於側臥復甦姿勢，監測呼吸道、生命徵象和恢復情況；找出原因並通知醫療提供者。
2. 立即IV push 50% dextrose(D50W)25 g(50 mL)·之後再驗BG·無IV則glucagon 1 mg IM/SC·個案側臥·監測氣道·生命徵象·恢復·找出原因·通報醫師。 **✔ 正確答案**
3. 嘗試喚醒個案，然後協助採高佛勒氏姿勢，並提供含有柳橙汁和複合碳水化合物的早餐盤；在30分鐘後重新檢查血糖；在餵食期間監測呼吸道和生命徵象；通知醫療提供者。
4. 在個案平躺時，以針筒經口給予8盎司的柳橙汁，然後將床頭抬高至45度；在15分鐘後重新檢查血糖；如果仍然偏低，重複給予果汁；監測呼吸道、生命徵象和恢復情況；通知醫療提供者。

**正確答案: 2**

## 解析

意識不清病人的嚴重低血糖
嚴重低血糖（血糖

## 深入解析

為何選2
重度低血糖(BG

## 重要概念

- **D50W·D10W** — D50W:50% dextrose·25 g/50 mL·IV push·大靜脈(滲漏會組織壞死·vesicant)。D10W:10% dextrose·輸注·100~250 mL·弱vesicant·新生兒·小靜脈優選。兩者用於急性低血糖。
- **Glucagon用法** — 1 mg IM/SC·5~10分起效·作用~30分·分解肝glycogen。IV可用時D50W優先(快·glucagon IV時血管擴張風險)。作用短·意識恢復後須補口服碳水。副作用:嘔吐(常見)·低鉀·低血糖再發。
- **低血糖分級** — Level 1:BG

## 相同主題題目

- [A nurse is reviewing the morning lab results for an adult client receiving warfarin for at…](https://mymerci.kr/pages/nclex_q.php?qn_id=360515&lang=zh-tw)
- [A client is admitted to the emergency department after ingesting an unknown amount of acet…](https://mymerci.kr/pages/nclex_q.php?qn_id=362720&lang=zh-tw)
- [A client with chronic heart failure is prescribed metoprolol 25 mg orally twice daily. Bef…](https://mymerci.kr/pages/nclex_q.php?qn_id=362756&lang=zh-tw)
- [A 28-year-old client with type 1 diabetes receives regular insulin 6 units and NPH insulin…](https://mymerci.kr/pages/nclex_q.php?qn_id=362792&lang=zh-tw)
- [A client receives IV vancomycin 1 g every 12 hours for MRSA bacteremia. Before the next do…](https://mymerci.kr/pages/nclex_q.php?qn_id=362833&lang=zh-tw)
- [A client with bipolar disorder has been taking lithium carbonate 600 mg orally three times…](https://mymerci.kr/pages/nclex_q.php?qn_id=362894&lang=zh-tw)
- [An 80-year-old male with heart failure is prescribed digoxin 0.125 mg daily. During mornin…](https://mymerci.kr/pages/nclex_q.php?qn_id=372686&lang=zh-tw)
- [A 38-year-old female with rheumatoid arthritis is being discharged with a new prescription…](https://mymerci.kr/pages/nclex_q.php?qn_id=372687&lang=zh-tw)

## 以其他語言閱讀

- [en](https://mymerci.kr/pages/nclex_q.php?qn_id=375041&lang=en)
- [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=375041&lang=ko)
- [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=375041&lang=ja)
- [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=375041&lang=zh-tw)
- [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=375041&lang=vi)

---

More free questions: [NCLEX-RN 題庫](https://mymerci.kr/pages/nclex_bank.php?lang=zh-tw)

_僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。_