— 生理適應 · EASY · MCQ —
一位三度燒傷病人，下列哪個燒傷管理階段對於輸液復甦最為優先？
A nurse is caring for a client with a full-thickness burn injury. Which phase of burn management is the priority for fluid resuscitation?
- AEmergent phase✓ 正解緊急期
- BRehabilitation phase復健期
- CAcute phase急性期
- DRecovery phase恢復期
— Explanation · 中文詳解 —
燒傷後的緊急期（Emergent phase，通常為受傷後前 24-48 小時），因血管滲透性增加導致大量液體流失至組織間隙，最容易發生休克。此階段的目標是透過積極的輸液復甦（Fluid Resuscitation）來維持循環穩定與器官灌流。
The emergent phase of burn management is the priority for fluid resuscitation because increased capillary permeability leads to significant fluid shifts and risk of hypovolemic shock. This phase typically lasts for the first 24 to 48 hours after the injury. The primary goal during this period is to restore intravascular volume and maintain organ perfusion.
✦ 台美臨床差異
美台臨床皆採用 Parkland 公式或類似之標準輸液計畫，護理重點皆在監測尿量（UOP）以評估復甦效果。