— 生理適應 · MEDIUM · MCQ —
一位敗血症病人呈現分佈性休克（Distributive shock）。護理師應首要預期什麼？
A client with sepsis is presenting with signs of distributive shock. What should the nurse anticipate first?
- AAggressive fluid resuscitation✓ 正解積極的液體復甦
- BImmediate administration of vasopressors立即給予升壓劑
- CSevere fluid restriction嚴格限制液體攝取
- DBed rest only僅需卧床休息
— Explanation · 中文詳解 —
敗血性休克（Septic shock）屬於分佈性休克（Distributive shock），因全身性發炎反應導致血管擴張，造成相對性低血容積（Relative hypovolemia）。治療的首要原則是快速恢復有效循環血量（Fluid resuscitation），通常給予大量晶體液（Crystalloids）。在補液後若血壓仍無法維持，才考慮使用升壓劑（Vasopressors）。護理師需監測病人的尿量（代表灌流）與生命徵象，以評估補液成效。
Septic shock is distributive shock—the systemic inflammatory response causes vasodilation and relative hypovolemia. The first-line treatment is rapid restoration of effective circulating volume with aggressive fluid resuscitation, usually with crystalloids. If BP cannot be maintained after fluids, vasopressors are added. The nurse monitors urine output (perfusion) and vitals to assess response.