— 生理適應 · MEDIUM · MCQ —
一位嚴重燒傷病人處於急性期（Emergent phase），護理師的首要考量為何？
A client with severe burns is in the emergent phase. What is the nurse's priority concern?
- APain management疼痛管理
- BWound infection傷口感染
- CPsychosocial support心理社會支持
- DFluid resuscitation✓ 正解液體復甦
— Explanation · 中文詳解 —
嚴重燒傷的急性期（Emergent phase）通常指傷後的前 24 至 48 小時。此階段最致命的風險是因微血管通透性增加，導致大量血漿流失至組織間隙，造成嚴重的低血容性休克（Hypovolemic shock）。因此，護理的首要任務是進行積極的輸液復甦（Fluid resuscitation），以維持重要器官的灌流，這是絕對的優先考量。
During the emergent phase of severe burns, the priority concern is fluid resuscitation to prevent hypovolemic shock caused by massive fluid shifts from the intravascular space to the interstitial space. While pain management and psychosocial support are important, maintaining hemodynamic stability is the immediate life-saving intervention.