[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$fwZksA-kguIyvWPBsOe-I-C0LKJ0WAz64UJrbOZmCVr4":3},{"answer":4,"createTime":5,"id":6,"options":7,"origin":13,"question":20,"related":21,"source":33,"type":34},[],"2024-04-06 14:36:54",137034339,[8,9,10,11,12],"口服葡萄糖耐量试验","24 小时尿糖定量","测尿糖","测随机血糖","测糖化血红蛋白",{"count":14,"courseId":15,"courseImg":16,"courseName":17,"workId":18,"workName":19},52,"96b47feb5bf846dc273fc5b7327fb7ae","https:\u002F\u002Ftihai-oss-cloud.itihey.com\u002Fimg\u002F5437c9552f7007538740048bc38ef394.png","内科护理学-本科","work_33966630","糖尿病(新)","为明确该病人是否患有糖尿病,应进行的检查是黄某,女,60岁.因体检发现空腹血糖6.8mmol\u002FL就诊.自诉未感特殊不适.身高157cm,体重80kg. 高血压病史10年.平素很少运动.有糖尿病家族史",[22,35,45,55,58,69,79,89,100,110],{"answer":23,"createTime":24,"id":25,"options":26,"question":32,"source":33,"type":34},[],"2024-04-07 21:54:05",137034334,[27,28,29,30,31],"总胆固醇升高","甘油三酯升高","极低密度脂蛋白升高","低密度脂蛋白升高","高密度脂蛋白升高","下列不属于血脂异常冠状动脉粥样硬化的危险因素的是","v1",0,{"answer":36,"createTime":24,"id":37,"options":38,"question":44,"source":33,"type":34},[],137034335,[39,40,41,42,43],"OGTT","尿糖测定+随机血糖","HbA1c","血酮体+动脉血气分析","胰岛β功能检查","为明确诊断,应首选的检查是陈某,男,38岁.患1型糖尿病多年,自诉"感冒"3天,今天出现高热、食欲减退、恶心、呕吐及腹痛,由家人送入院.身体评估:嗜睡状态,呼吸深快,皮肤干燥",{"answer":46,"createTime":24,"id":47,"options":48,"question":54,"source":33,"type":34},[],137034337,[49,50,51,52,53],"经胃管间断鼻饲流质","坚持糖尿病普通饮食","全静脉营养","暂禁食,静脉输液","静脉输液和鼻饲温开水","目前该病人最适宜的补充液体的措施是周某,女,55岁.诊断为糖尿病5年.因"咳嗽、咳痰伴发热1周,嗜睡2天,昏迷5小时"入院.身体评估:中度昏迷,皮肤干燥,呼吸24次\u002Fmin,心率120次\u002Fmin.实验室检查:白细胞12×10\u002FL,血糖31.2mmol\u002FL,尿酮(++),pH7.10,血尿素氮25mmol\u002FL(正常值3.2~7.1mmol\u002FL)",{"answer":56,"createTime":5,"id":6,"options":57,"question":20,"source":33,"type":34},[],[8,9,10,11,12],{"answer":59,"createTime":60,"id":61,"options":62,"question":68,"source":33,"type":34},[],"2024-04-06 14:36:55",137034341,[63,64,65,66,67],"呼吸深大","口渴、多饮、多尿","昏迷","呼气有烂苹果味","皮肤干燥、弹性差","糖尿病酮症酸中毒的特征性表现为",{"answer":70,"createTime":24,"id":71,"options":72,"question":78,"source":33,"type":34},[],137034343,[73,74,75,76,77],"进食饼干3~4块","口服50%葡萄糖溶液20~40ml","进食巧克力3~4块","进食白米饭1碗","进食馒头1个","许某,女,42岁.确诊2型糖尿病1年,采用口服阿卡波糖治疗控制血糖.午餐因食欲不佳减少进 食量,突感头晕、手抖、冷汗.其采取的最佳紧急应对措施是",{"answer":80,"createTime":24,"id":81,"options":82,"question":88,"source":33,"type":34},[],137034345,[83,84,85,86,87],"16.7mmol\u002FL","7.8mmol\u002FL","13.9mmol\u002FL","10.0mmol\u002FL","11.1mmol\u002FL","张某,男,72岁.因"神志不清3小时"入院.身体评估:浅昏迷,皮肤弹性差.实验室检查:血糖 49.6mmol\u002FL,有效血浆渗透压380mOsm\u002FL,尿糖强阳性,血酮正常,尿酮弱阳性,血 pH7.37. 予生理盐水大量补液,当病人血糖下降至一定数值时,需要改用葡萄糖溶液加胰岛素治疗,该数值是",{"answer":90,"createTime":91,"id":92,"options":93,"question":99,"source":33,"type":34},[],"2024-04-06 14:36:56",137034347,[94,95,96,97,98],"立即行CPR","摇高床头","书写护理记录","测指尖血糖并通知医生","通知家属","首要的紧急处理措施是张某,女,68岁.因"多饮、多尿11年,血糖控制欠佳"入院,予胰岛素泵强化治疗.今晨病人空腹私自 外出运动,大汗淋漓返回病房后突发昏迷,手足冰冷",{"answer":101,"createTime":91,"id":102,"options":103,"question":109,"source":33,"type":34},[],137034349,[104,105,106,107,108],"继续增强运动疗法","继续增强饮食疗法","改用胰岛素治疗","增加二甲双胍类药物治疗","住院进一步检查","杨某,男,45岁.确诊糖尿病2年.病人体型肥胖,仅采用改变生活方式进行治疗,但血糖控制不理想.对此应首先考虑",{"answer":111,"createTime":24,"id":112,"options":113,"question":119,"source":33,"type":34},[],137034351,[114,115,116,117,118],"局限性坏疽","较深的溃疡,常有软组织炎,无脓肿或骨的感染","深度感染,伴有骨组织病变或脓肿","全足坏疽","表面溃疡,临床上无感染","按 Wagner 分级法,糖尿病足3级是指"]