護理師照護一位全身燒傷面積達 40% TBSA 的病人。燒傷後首 24 小時內，最適合的液體復甦方式為何？
A nurse is caring for a client with severe burns covering 40% of their total body surface area (TBSA). Which fluid resuscitation is most appropriate in the first 24 hours post-burn?
- ALactated Ringer's solution✓ 正解林格氏乳酸鹽溶液
- BDextrose 5% in water5%葡萄糖水
- CWhole blood全血
- DAlbumin solution白蛋白溶液
大規模燒傷後，毛細血管通透性增加，導致大量液體和蛋白質從血管內漏出，引起低血容量休克。Lactated Ringer's (LR) 溶液因其滲透壓接近細胞外液，且乳酸鹽可在肝臟代謝為碳酸氫鹽，有助於糾正代謝性酸中毒，是燒傷早期復甦的首選。
After extensive burns, capillary permeability increases, allowing large amounts of fluid and protein to leak from the vessels into the interstitium and producing hypovolemic shock. Lactated Ringer's (LR) is the fluid of choice for early burn resuscitation because its osmolality approximates that of extracellular fluid and its lactate is metabolized to bicarbonate by the liver, which helps correct metabolic acidosis.
美國燒傷中心有標準化復甦公式（如 Parkland formula）；台灣燒傷照護依循國際準則，但資源和團隊整合程度可能受限於醫院層級。