[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-057":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":25},"nurse-109-1-內外科護理學-057","nurse-109-1-medical-surgical-057",109,1,57,"王先生因急性腎衰竭而急診入院，目前檢驗測得 arterial blood gas 為 pH：7.23，PaCO 2 ：32 mmHg， HCO 3 －：17.5 mEq\u002FL，PaO 2 ：82 mmHg，SaO 2 ：98%，此結果屬：",{"A":14,"B":15,"C":16,"D":17},"呼吸性酸中毒","部分代償性呼吸性酸中毒","代謝性酸中毒","部分代償性代謝性酸中毒","D",null,[],"本題考點為動脈血液氣體分析的酸鹼判讀。pH 7.23低於7.35呈酸血症,HCO3⁻ 17.5低於正常22~26為代謝性酸中毒的原發變化,方向與pH一致;PaCO2 32低於35,顯示呼吸系統以過度換氣排出二氧化碳進行代償,但pH尚未回到正常範圍,屬部分代償,故判為部分代償性代謝性酸中毒,選D。A、B呼吸性酸中毒須PaCO2上升,與此處PaCO2下降不符;C單純代謝性酸中毒未反映PaCO2已下降代償,故最精確者為部分代償性代謝性酸中毒D。","判讀四步驟:①看pH定酸鹼(7.23酸)②看主變項HCO3與PaCO2何者方向與pH一致(HCO3低→代謝性)③看對側是否代償(PaCO2下降=呼吸代償)④pH是否回正常定完全或部分代償。急性腎衰竭堆積酸性代謝產物正是代謝性酸中毒的典型病因。",[24,26,29,32],{"term":16,"count":25},22,{"term":27,"count":28},"動脈血液氣體分析",10,{"term":30,"count":31},"部分代償",3,{"term":33,"count":10},"HCO3與PaCO2判讀",[35,39,44,49,54,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-medical-surgical-058","承上題，下列何項處置可以最有效的改善王先生酸鹼不平衡之問題？",58,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-109-2-medical-surgical-074","有關糖尿病酮酸中毒（DKA）病人之檢驗結果，下列何者正確？①動脈血氧分析 pH 7.2 ②動脈血氧分析 pH 7.5 ③血中碳酸根離子濃度 14 mEq\u002FL ④血中碳酸根離子濃度 25 mEq\u002FL ⑤血清滲透壓>320 mOsm\u002Fkg ⑥血清滲透壓\u003C320 mOsm\u002Fkg",74,2,{"webId":45,"stem":46,"number":47,"year":48,"session":43},"nurse-110-2-medical-surgical-008","有關顱內壓升高（IICP）的護理措施，下列何者正確？",8,110,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-111-2-medical-surgical-046","有關皮膚惡性腫瘤病人的護理措施，下列何者錯誤？",46,111,{"webId":55,"stem":56,"number":28,"year":57,"session":31},"nurse-112-3-medical-surgical-010","常見肝硬化形成腹水的原因，下列何者正確？",112,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-1-medical-surgical-004","有關癲癇（epilepsy）發作處置，下列敘述何者錯誤？",4,114,"2026-09-04",1788510712828]