[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-076":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-110-2-內外科護理學-076","nurse-110-2-medical-surgical-076",110,2,76,"下列何種休克病人，根據其導因應優先考慮給與水分或血品之輸注？",{"A":14,"B":15,"C":16,"D":17},"心因性休克","低血容積性休克","過敏性休克","敗血性休克","B",null,[],"本題考點為各類休克的病生理導因與對應處置的優先順序。依低血容積性休克的機轉,核心問題是循環血量不足,故補充水分或血品以回復前負荷是首要處置,選B。(A)心因性休克為幫浦衰竭,過量給液反而加重肺水腫,以強心與降低後負荷為主。(C)過敏性休克屬分佈性休克,首選epinephrine處理血管擴張與支氣管收縮。(D)敗血性休克雖需給液,但根本在控制感染與使用升壓劑,補液非唯一導因對策。考點在於「導因為血量不足」時,靜脈輸注水分或血品才是最直接矯正病因的措施。","休克四大類:低血容積(出血、脫水)、心因性(幫浦衰竭)、分佈性(敗血、過敏、神經性)、阻塞性(心包填塞、張力性氣胸)。處置對應病因:低血容積→補容積;心因性→強心\u002F減後負荷,忌大量給液;過敏性→立即epinephrine;敗血性→抗生素+升壓劑+適量給液。記憶:「缺什麼補什麼」,唯有低血容積是純粹血量問題。可連結:前負荷與Frank-Starling、乳酸清除率、平均動脈壓目標。",[24,27,28,31,33],{"term":25,"count":26},"前負荷",7,{"term":14,"count":26},{"term":29,"count":30},"休克分類",5,{"term":15,"count":32},4,{"term":34,"count":10},"輸液復甦",[36,40,45,51,56,61],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-2-medical-surgical-077","何處骨折最適合使用八字繃帶法進行固定？",77,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-111-2-medical-surgical-013","有關胃食道逆流的敘述，下列何者正確？",13,111,{"webId":46,"stem":47,"number":48,"year":49,"session":50},"nurse-112-1-medical-surgical-027","有關裝置植入式自動心律轉換去顫器（AICD）病人居家護理指導之敘述，下列何者錯誤？",27,112,1,{"webId":52,"stem":53,"number":54,"year":55,"session":50},"nurse-113-1-medical-surgical-015","有關鼻竇炎病人的護理指導，下列何者錯誤？",15,113,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-114-2-medical-surgical-019","有關心律去顫整流術（defibrillation）之敘述，下列何者錯誤？",19,114,{"webId":62,"stem":63,"number":43,"year":64,"session":50},"nurse-106-1-medical-surgical-013","有關因 B、C 型肝炎感染後導致肝硬化之類型，下列何者正確？",106,"2026-09-04",1788510729521]