[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-028":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":26},"nurse-113-2-內外科護理學-028","nurse-113-2-medical-surgical-028",113,2,28,"40 歲男性病人，入院診斷為二度燒傷，依照帕克蘭公式計算需給予 12,000 c.c. 液體復甦治療，在燒傷後的第一個 8 小時內需補充完成多少輸液？",{"A":14,"B":15,"C":16,"D":17},"3,000 c.c.","4,000 c.c.","6,000 c.c.","12,000 c.c.","C",null,[],"本題考點在於帕克蘭公式(Parkland formula)輸液復甦的時間分配計算。依該公式,燒傷後 24 小時總補液量的「前半」須在受傷後最初 8 小時內給完,後半在接續的 16 小時給完。題目已給總量 12,000 c.c.,故前 8 小時應補 12,000 ÷ 2 = 6,000 c.c.,選 C。A 3,000 為總量的四分之一、B 4,000 為三分之一、D 12,000 為全部,皆不符合「前 8 小時給一半」的分配原則。判別重點是先抓「總量的 1\u002F2」,再對應時間窗,避免把 24 小時總量誤當前 8 小時量。","Parkland:24 小時晶體液(乳酸林格液)量 = 4 mL × 體重(kg) × 燒傷面積(%TBSA),時間起算自「受傷當下」而非入院。分配為前 8 小時給 1\u002F2、後 16 小時給 1\u002F2,並以尿量(成人約 0.5 mL\u002Fkg\u002Fhr)監測復甦是否足夠。記憶:一半塞在頭 8 小時,時鐘從燒傷那一刻算起。",[24,27,29,31],{"term":25,"count":26},"帕克蘭公式",1,{"term":28,"count":26},"前 8 小時給總量一半",{"term":30,"count":26},"受傷時起算",{"term":32,"count":26},"尿量監測復甦",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-medical-surgical-029","有關全身性紅斑性狼瘡之醫療處置之敘述，下列何者錯誤？",29,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-114-1-medical-surgical-025","下列何者接受自體移植治療後的5年存活率最高？",25,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-medical-surgical-019","針對正在接受化學治療病人的護理指導，下列敘述何者最不適當？",19,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-106-1-medical-surgical-067","有關甲狀腺風暴的臨床表徵，下列何者正確？",67,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-medical-surgical-031","有關評估交通靜脈與隱靜脈瓣功能之檢查，下列何者正確？",31,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-medical-surgical-065","蔡先生主訴噁心、食慾不振，昨日嘔吐量約 150 c.c.\u002F天，排尿量 360 c.c.\u002F天，血清鉀 6.8 mEq\u002FL，下列處置何者錯誤？",65,108,"2026-09-04",1788510755103]