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生理適應 · MEDIUM · SATA

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
Explanation · 中文詳解

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.

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