病人疑似敗血症入院，護理師預期需執行下列哪些醫囑？（選所有適合的）
A client is admitted with suspected sepsis. The nurse anticipates orders for which of the following interventions? (Select all that apply.)
- AObtain blood cultures✓ 正解抽取血液培養
- BAdminister broad-spectrum antibiotics✓ 正解給予廣效型抗生素
- CAdminister 30 mL/kg of crystalloid bolus✓ 正解給予 30 mL/kg 的晶體液推注
- DMeasure serum lactate levels✓ 正解測量血清乳酸濃度
- EInitiate continuous cardiac monitoring開始連續心電圖監測
敗血症（Sepsis）的急救遵循「敗血症復甦套組（Sepsis resuscitation bundle）」，核心目標是在一小時內完成目標導向的處置。這包括：立即抽血培養以確認病原體、投予廣效抗生素以控制感染、給予 30 mL/kg 的等張晶體液擴充血容量，以及測量乳酸值（Lactate）以評估組織灌流情況。這些介入措施是降低敗血症死亡率的關鍵。
Early sepsis management follows the Surviving Sepsis Campaign guidelines, prioritizing the collection of blood cultures before antibiotic administration to identify the pathogen. Broad-spectrum antibiotics should be started promptly to reduce mortality, alongside fluid resuscitation with 30 mL/kg of crystalloids to restore tissue perfusion. Measuring serum lactate levels helps assess for cellular hypoxia and guides further resuscitation efforts.