— 生理適應 · MEDIUM · MCQ —
全層燒傷（Full-thickness burn）病患的護理照護首要目標為何？
What is the primary goal of nursing care for a client with a full-thickness burn?
- APsychosocial support心理社會支持
- BWound debridement傷口清創
- CPain management疼痛管理
- DFluid resuscitation✓ 正解液體復甦
— Explanation · 中文詳解 —
燒傷後首 24-48 小時內，最大的生命風險是因組織毛細血管滲透性增加導致的嚴重液體缺失（低血容積性休克）。因此，補液 (Fluid resuscitation) 是維持臟器灌流與存活的首要任務。疼痛與傷口處理固然重要，但需在血流動力學穩定後進行。
During the first 24-48 hours after a burn, the greatest threat to life is severe fluid loss due to increased capillary permeability, leading to hypovolemic shock. Therefore, fluid resuscitation is the foremost priority for maintaining organ perfusion and survival. Pain control and wound management, while important, must wait until hemodynamic stability is achieved.
✦ 台美臨床差異
美台對於燒傷補液公式（如 Parkland formula）的应用皆一致。