[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-034":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":25},"nurse-113-2-內外科護理學-034","nurse-113-2-medical-surgical-034",113,2,34,"王先生呼吸喘，動脈血液氣體分析報告為：pH 7.20、PaCO 2 61 mmHg、PaO 2 62 mmHg、HCO 3- 22 mEq\u002FL，此結果判讀，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"呼吸性鹼中毒","代謝性酸中毒","代謝性鹼中毒","呼吸性酸中毒","D",null,[],"本題考點在於動脈血液氣體分析(ABG)的酸鹼判讀。依判讀步驟:先看 pH 7.20 低於正常 7.35–7.45,屬「酸中毒」;再看 PaCO₂ 61 mmHg 高於正常 35–45 mmHg,是酸性且方向與 pH 一致,判為「呼吸性」;HCO₃⁻ 22 mEq\u002FL 落在正常 22–26,顯示尚未代償,故為呼吸性酸中毒,選 D。A 呼吸性鹼中毒需 pH 高、PaCO₂ 低,不符。B 代謝性酸中毒的主變化應為 HCO₃⁻ 下降,但此處 HCO₃⁻ 正常,不符。C 代謝性鹼中毒需 pH 高、HCO₃⁻ 上升,亦不符。整體以「pH 定酸鹼、對照 CO₂ 與 HCO₃⁻ 找主因」的邏輯判讀。","ABG 判讀口訣:先 pH(\u003C7.35 酸、>7.45 鹼)→找同向者為主因(CO₂ 反向於 pH 屬呼吸、HCO₃⁻ 同向於 pH 屬代謝)→看代償。此例 PaCO₂↑且 HCO₃⁻ 正常=未代償呼吸性酸中毒,常見於換氣不足(COPD 惡化、呼吸抑制),伴 PaO₂ 62 的低血氧。記憶:CO₂ 高又 pH 低=呼吸性酸。",[24,26,28,31],{"term":17,"count":25},8,{"term":27,"count":10},"換氣不足",{"term":29,"count":30},"動脈血氣分析判讀",1,{"term":32,"count":30},"PaCO2 與 HCO3− 正常值",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-medical-surgical-035","下列何者不是肺氣腫病人的身體評估結果？",35,{"webId":39,"stem":40,"number":41,"year":42,"session":30},"nurse-114-1-medical-surgical-031","為降低排斥反應，下列何者為器官移植前進行組織配對的常見檢驗？①C型肝炎檢驗             ②人類白血球抗原（HLA）   ③混和性淋巴細胞反應    ④交叉配對試驗    ⑤人類免疫缺乏病毒（HIV）篩檢",31,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-medical-surgical-025","有關器官移植後發生急性排斥反應，下列敘述何者最適當？",25,3,{"webId":49,"stem":50,"number":51,"year":52,"session":30},"nurse-106-1-medical-surgical-073","關於糖化血色素（HbA1c）之敘述，下列何者正確？",73,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-medical-surgical-037","下列何者為可抑制血管加壓素 I 轉換成血管加壓素 II 之抗高血壓藥物？",37,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-medical-surgical-071","有關副甲狀腺機能亢進病人之護理指導，下列何者正確？",71,108,"2026-09-04",1788510755171]