[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-043":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"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":26},"nurse-108-1-內外科護理學-043","nurse-108-1-medical-surgical-043",108,1,43,"有關燒傷病人達到體液復甦目標之指標，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"血比容（Hematocrit）60%","脈搏 130 次／分","尿比重 1.035","尿量每小時 50 毫升","D",null,[],"本題考點在於燒傷體液復甦是否足量的評估指標，核心是尿量。依 Parkland 公式復甦原則，成人維持尿量每小時約 30–50 毫升（0.5–1 mL\u002Fkg\u002Fhr）代表腎臟灌流與循環容積恢復，故選 D。（A）錯在血比容 60% 反映血液濃縮、血漿容積不足，是復甦未達標；復甦足夠時血比容應回落至正常。（B）錯在脈搏 130 次／分為心搏過速，代表低血容代償仍在進行，未達目標。（C）錯在尿比重 1.035 屬高張濃縮尿，顯示脫水、腎臟保水，同樣代表復甦不足；達標時尿比重應趨近 1.010–1.020。","尿量是床邊最靈敏且直接反映器官灌流的復甦終點。燒傷後微血管通透性增加，血漿滲入組織間隙造成低血容休克，血液濃縮使 Hct 上升、尿液濃縮使比重升高、心臟以心搏過速代償。復甦足量時，這四項一起「回正」：Hct 下降、心跳趨緩、尿比重轉稀、尿量達標。記憶口訣：「量夠尿順、血稀心穩」。連結概念：Parkland 公式、乳酸林格液、微血管通透性、低血容性休克、平均動脈壓。",[24,27,30,32,34],{"term":25,"count":26},"尿比重",4,{"term":28,"count":29},"低血容性休克",3,{"term":31,"count":10},"Parkland 復甦公式",{"term":33,"count":10},"每小時尿量指標",{"term":35,"count":10},"血比容 Hematocrit",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-108-1-medical-surgical-044","有關蜂窩性組織炎的敘述，下列何者正確？",44,{"webId":42,"stem":43,"number":44,"year":9,"session":45},"nurse-108-2-medical-surgical-060","教導慢性阻塞性肺疾病病人採用橫膈式呼吸之預期效果，下列何者正確？",60,2,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-109-1-medical-surgical-074","有關監測敗血症病人液體療法之生理指標，下列何者最可能需調節輸液？",74,109,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-110-2-medical-surgical-032","有關僧帽瓣狹窄的臨床表徵，下列何者正確？",32,110,{"webId":57,"stem":58,"number":59,"year":60,"session":45},"nurse-111-2-medical-surgical-076","有關骨折病人到院前急救處理原則，下列何者為最優先的處置？",76,111,{"webId":62,"stem":63,"number":64,"year":65,"session":29},"nurse-112-3-medical-surgical-030","承上題，病人體重 65 公斤，其靜脈液體補充，依據帕克蘭公式（Parkland formula）24 小時內的第一個 8 小時應給予多少液體？",30,112,"2026-09-04",1788510709886]