— 生理適應 · MEDIUM · SATA —
下列哪些評估結果顯示低血容性休克病人的液體復甦效果良好?(選所有適合的)
Which assessment findings indicate effective fluid resuscitation for a client with hypovolemic shock? (Select all that apply.)
- AIncrease in urine output to >30 mL/hr✓ 正解尿量增加至 >30 mL/hr
- BReturn of peripheral pulses✓ 正解周邊脈搏恢復
- CDecrease in blood pressure血壓下降
- DImprovement in level of consciousness✓ 正解意識水準改善
- EPeripheral edema周邊水腫
— Explanation · 中文詳解 —
低血容性休克(Hypovolemic shock)的液體復甦目標是恢復組織灌流與維持生命徵象。有效復甦的臨床指標反映了器官灌流的改善:尿量增加顯示腎臟灌流恢復;周邊脈搏強勁代表心輸出量(Cardiac Output)回升;意識改善則顯示腦部灌流恢復。護理師需透過這些參數評估治療反應,並持續監測是否出現水分過負荷之跡象。
Effective fluid resuscitation in hypovolemic shock is indicated by improved organ perfusion, evidenced by increased urine output, palpable peripheral pulses, and an improved level of consciousness. These signs demonstrate that cardiac output and tissue oxygenation are recovering.