[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-066":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-112-2-內外科護理學-066","nurse-112-2-medical-surgical-066",112,2,66,"黃女士的動脈血液氣體分析結果為完全代償性代謝性酸中毒，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"pH 7.35、PaCO 2 30 mmHg、HCO 3- 20 mmHg、PaO 2 81 mmHg","pH 7.31、PaCO 2 28 mmHg、HCO 3- 19 mmHg、PaO 2 80 mmHg","pH 7.32、PaCO 2 47 mmHg、HCO 3- 23 mmHg、PaO 2 82 mmHg","pH 7.33、PaCO 2 36 mmHg、HCO 3- 18 mmHg、PaO 2 83 mmHg","A",null,[],"本題考點在判讀「完全代償性代謝性酸中毒」的動脈血氣。依酸鹼判讀原則，代謝性酸中毒的原發變化是 HCO₃⁻ 下降，呼吸系統以過度換氣排出 CO₂(PaCO₂ 下降)進行代償;「完全代償」的關鍵是 pH 已回到正常範圍(7.35–7.45),選 A(pH 7.35、PaCO₂ 30、HCO₃⁻ 20)。B 的 pH 7.31 仍低於 7.35,屬「部分代償」而非完全代償。C 的 PaCO₂ 47 偏高、HCO₃⁻ 23 近正常，型態偏向呼吸性問題,不符代謝性酸中毒。D 的 pH 7.33 亦未回到正常範圍，屬部分代償。故唯 A 同時符合 HCO₃⁻ 低、PaCO₂ 代償性低、且 pH 已正常化。","判讀三步驟:先看 pH 偏酸或偏鹼、再看原發是 HCO₃⁻(代謝)或 PaCO₂(呼吸)、最後看代償程度。完全代償=pH 進入正常範圍(但仍偏向原發那側);部分代償=pH 尚未正常;未代償=代償系統值仍正常。代謝性酸中毒正常值對照:HCO₃⁻ 22–26 mEq\u002FL、PaCO₂ 35–45 mmHg、PaO₂ 80–100 mmHg。口訣「代酸看碳酸氫根降、呼吸吹掉二氧化碳來救、pH 回正就叫完全代償」。可連結陰離子間隙(anion gap)區分代酸病因複習。",[24,27,29,32,34],{"term":25,"count":26},"代謝性酸中毒",22,{"term":28,"count":10},"完全代償",{"term":30,"count":31},"HCO3−",1,{"term":33,"count":31},"PaCO2 呼吸代償",{"term":35,"count":31},"動脈血氣判讀",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-112-2-medical-surgical-067","有關皮質醇（Cortisol）之敘述，下列何者正確？",67,{"webId":42,"stem":43,"number":44,"year":45,"session":31},"nurse-113-1-medical-surgical-033","周先生為氣喘病人，使用藥物後，出現「心悸、心律不整」的反應，最可能導致此反應的藥物為下列何者？",33,113,{"webId":47,"stem":48,"number":49,"year":45,"session":50},"nurse-113-3-medical-surgical-027","有關燒傷病人輔助使用高壓氧治療之作用，下列何者最適宜？",27,3,{"webId":52,"stem":53,"number":54,"year":55,"session":31},"nurse-115-1-medical-surgical-025","有關病人接受靜脈輸注化學藥物時，若不慎藥物外滲之護理措施，下列何者正確？",25,115,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-106-2-medical-surgical-049","有關全身性紅斑性狼瘡的診斷檢查結果，下列何者錯誤？",49,106,{"webId":62,"stem":63,"number":50,"year":64,"session":31},"nurse-108-1-medical-surgical-003","有關顱內壓升高的治療，下列何者錯誤？",108,"2026-09-04",1788510747854]