— 生理適應 · EASY · MCQ —
護理師評估一位體液過多的病人,預期會發現哪些檢驗結果?
A nurse is assessing a client with fluid volume excess. Which lab finding is expected?
- AIncreased BUNBUN 增加
- BIncreased Serum Osmolality血清滲透壓增加
- CIncreased Urine Specific Gravity尿液比重增加
- DDecreased Hematocrit✓ 正解血球容積比減少
— Explanation · 中文詳解 —
當身體出現體液容積過多(Fluid volume excess / Hypervolemia)時,血液中的紅血球與血漿成分被稀釋,導致血液稀釋現象(Hemodilution),因此實驗室數據中會觀察到紅血球容積比(Hematocrit)下降。同時,尿比重通常會因水分過多而下降,血清滲透壓也會因稀釋而降低。
When the body has fluid volume excess (hypervolemia), the red blood cells and plasma components are diluted, leading to hemodilution; laboratory data therefore show a decreased hematocrit. At the same time, the urine specific gravity usually decreases because of the excess water, and the serum osmolality also decreases due to dilution.