因應大量傷患事件，內外科護理長正準備清空病床。哪一位特定病患最安全適合立即辦理提早出院以空出病床？
The designated surgical charge nurse holds a morning briefing in a severely understaffed Med-Surg unit during a massive casualty incident. Which specific client uniquely represents the safest profile required exclusively for immediate rapid early discharge to clear a trauma bed?
- AA client newly diagnosed with an active deep vein thrombosis currently requiring stringent continuous intravenous heparin therapy securely.新診斷為活動性深部靜脈血栓形成，目前正嚴格接受持續靜脈肝素治療的病人。
- BA client displaying acute chronical exacerbation of heart failure still heavily requiring continuous intravenous furosemide diuretic therapy.呈現慢性心力衰竭急性惡化，仍高度依賴持續靜脈注射呋塞米利尿劑治療的病人。
- CA client admitted yesterday with wildly unstable angina eagerly awaiting a scheduled coronary angiogram procedure safely.昨日入院患有極度不穩定型心絞痛，急切等待安排冠狀動脈血管攝影檢查的病人。
- DA client 2 days post-op from total knee arthroplasty, taking oral pain medications and engaging in physical therapy.✓ 正解全膝關節置換術後第 2 天，服用口服止痛藥並參與物理治療的病人。
本題測驗大量傷患(MCI)的床位管理原則(Bed management)。必須請需要資源最少、病情最穩定(已轉吃口服藥)的病人出院。選項D的病患已改由口服止痛，可由家屬照顧出院。其他都必須留院打點滴。
In a mass casualty incident, bed management requires discharging the most stable client who needs the fewest resources. The post-op knee arthroplasty client on oral pain medications and engaged in PT is hemodynamically stable and can complete recovery with family support. The other clients (heart failure exacerbation on IV furosemide, unstable angina awaiting angiogram, active DVT on IV heparin) all require ongoing intravenous therapy and inpatient monitoring.
打 IV 的留下，吃 PO 的送走。