燒傷病人進行液體復甦時,哪些徵象表示復甦有效?(選所有適合的)
Which of the following assessments indicate effective fluid resuscitation in a burn client? (Select all that apply.)
- AUrine output of 0.5-1 mL/kg/hr✓ 正解尿量 0.5-1 mL/kg/hr
- BHeart rate of 90 bpm✓ 正解心率 90 bpm
- CSystolic blood pressure of 100 mmHg✓ 正解收縮壓 100 mmHg
- DClear mentation✓ 正解意識清晰
- ESerum sodium 155 mEq/L血清鈉 155 mEq/L
燒傷病人的液體復甦(Fluid resuscitation)目標在於維持重要器官灌流。評估有效性的指標包括:尿量(A)維持在 0.5-1 mL/kg/hr,這是反映腎臟灌流最準確的客觀數據;生命徵象穩定(B、C),如心跳小於 100 bpm、收縮壓大於 100 mmHg,表示循環量回升;神經狀態清醒(D),表示腦部灌流充足。血鈉(E)155 mEq/L 屬於高血鈉,通常是脫水或水分補充不足的表現,非復甦有效的指標。
The goal of fluid resuscitation in the burn client is to maintain perfusion of vital organs. Indicators of effective resuscitation include: urine output (A) maintained at 0.5-1 mL/kg/hr, which is the most accurate objective measure of renal perfusion; stable vital signs (B and C), such as a heart rate below 100 bpm and a systolic blood pressure above 100 mmHg, indicating restoration of circulating volume; and clear mentation (D), indicating adequate cerebral perfusion. A serum sodium of 155 mEq/L (E) represents hypernatremia, usually a sign of dehydration or inadequate fluid replacement, not effective resuscitation.