— 生理適應 · MEDIUM · MCQ —
一位顱內壓(ICP)增高的病人。下列哪種姿勢最合適?
A nurse is caring for a client with increased intracranial pressure (ICP). Which position is most appropriate?
- AHead of bed elevated 30 degrees✓ 正解床頭抬高30度
- BProne俯臥
- CSupine仰臥
- DTrendelenburg特倫德倫堡氏臥位(頭低腳高位)
— Explanation · 中文詳解 —
顱內壓增高(Increased ICP)的病人需維持腦部靜脈回流(Venous return)以降低腦水腫壓力。將床頭抬高(Head of bed elevation)約 30 度是標準護理措施,可利用重力作用減少腦部血液淤積,同時需保持頭頸部在中立位(Neutral position),避免頸靜脈受壓。
A client with increased intracranial pressure (ICP) needs to maintain cerebral venous return to reduce cerebral edema pressure. Elevating the head of the bed to approximately 30 degrees is a standard nursing measure that uses gravity to reduce cerebral venous pooling. The head and neck must also be maintained in a neutral position to avoid jugular venous compression.