— 生理適應 · MEDIUM · MCQ —
一位胸部與頸部燒傷的病患，應監測哪項優先問題？
A client with burns on the chest and neck should be monitored for which priority issue?
- ANutritional status營養狀況
- BInfection of the burn sites燒傷部位感染
- CFluid volume deficit體積不足
- DAirway compromise✓ 正解氣道阻塞
— Explanation · 中文詳解 —
頭頸部與胸部燒傷常伴隨吸入性損傷與組織水腫。氣道阻塞 (Airway compromise) 發展速度極快且致命，是燒傷病患最優先的護理目標。C 雖然是燒傷初期重要處置，但相較於窒息的致命性，呼吸道通暢維持優先級最高。
Burns involving the chest and neck pose an immediate threat of airway compromise due to rapid tissue edema and potential inhalation injury. Airway patency is the highest priority because swelling can progress quickly and become life-threatening, surpassing the urgency of fluid resuscitation or infection control. While fluid volume deficit is a major concern in burn care, securing the airway takes precedence in the initial assessment.
✦ 台美臨床差異
美台對燒傷病患的氣道維護策略一致，皆採早期氣管內插管預防措施。