[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-078":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":10},"nurse-107-2-內外科護理學-078","nurse-107-2-medical-surgical-078",107,2,78,"有關敗血症治療之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"應立即給與抗生素使用後再採集血液培養","若感染部位為中心靜脈注射，應盡速將管路拔除","予輸液治療並維持中心靜脈壓 ≥8 mmHg","血壓低時應給與升壓劑使用","A",null,[],"本題考點在敗血症早期治療的順序與原則。依敗血症治療指引,應在使用抗生素『之前』先採集血液培養,以免抗生素影響培養結果、無法找出致病菌與敏感性;敘述『立即給抗生素後再採血培養』順序顛倒,故錯誤者選 A。正確流程是先抽血培養再盡速(理想上一小時內)給予經驗性抗生素。選項 B 正確,若感染源為中心靜脈導管應盡速拔除以清除感染灶;選項 C 正確,以靜脈輸液復甦並維持足夠中心靜脈壓;選項 D 正確,輸液後血壓仍低時給予升壓劑維持組織灌流。","敗血症拯救聚焦的初期組合(bundle)重點:先抽血培養(及可能感染部位培養)→再盡快給廣效抗生素→大量晶體液復甦→仍低血壓則加升壓劑(首選 norepinephrine)維持平均動脈壓,並找出並移除感染源(如拔除感染導管)。抗生素每延遲一小時死亡率上升,但培養必須搶在抗生素前完成。口訣:先培養、後抗生素;補液、升壓、除病灶。",[24,26,28,31],{"term":25,"count":10},"血液培養先於抗生素",{"term":27,"count":10},"輸液復甦",{"term":29,"count":30},"敗血症治療",1,{"term":32,"count":30},"升壓劑",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-medical-surgical-079","護理師為一位跌倒的老先生施行基本救命術時，應以下列何種方式打開其呼吸道？",79,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-108-2-medical-surgical-015","有關左側脛骨骨折病人使用柺杖之護理指導，下列何者錯誤？",15,108,{"webId":44,"stem":45,"number":46,"year":47,"session":30},"nurse-109-1-medical-surgical-029","有關冠狀動脈疾病病人接受鉈-201 之檢查目的，下列何者正確？",29,109,{"webId":49,"stem":50,"number":51,"year":52,"session":30},"nurse-110-1-medical-surgical-067","有關良性前列腺肥大的合併症，下列何者錯誤？",67,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-2-medical-surgical-031","下肢周邊血管動脈疾病的護理指導，下列敘述何者正確？",31,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-2-medical-surgical-065","有關腎臟移植之合併症，下列敘述何者不適當？",65,112,"2026-09-04",1788510725585]