— 生理適應 · MEDIUM · SATA —
護理師在低血容性休克病人身上預期會觀察到哪些徵象？（選所有適合的）
Which assessment findings should a nurse expect in a client with hypovolemic shock? (Select all that apply.)
- ATachycardia✓ 正解心跳過速
- BOliguria✓ 正解少尿
- CBradycardia心跳過緩
- DCool, clammy skin✓ 正解皮膚冰冷、潮濕
- EIncreased urine output尿量增加
— Explanation · 中文詳解 —
低血容性休克是因液體流失導致組織灌流不足。身體會啟動交感神經代償，導致心跳加速（Tachycardia）、周邊血管收縮造成皮膚濕冷（Cool, clammy skin）、腎臟血流減少產生少尿（Oliguria）。心跳過慢與尿量增加不符合休克代償機制。
Hypovolemic shock triggers sympathetic nervous system compensation, resulting in tachycardia to maintain cardiac output and peripheral vasoconstriction that causes cool, clammy skin. Reduced renal perfusion leads to oliguria, while bradycardia and increased urine output are inconsistent with the body's compensatory mechanisms for volume loss.
✦ 台美臨床差異
台灣與美國臨床對休克徵象評估一致，均強調 ABC 的優先順序。