— 生理適應 · HARD · MCQ —
一位 30% 燒傷面積（TBSA）的病人入院，前 24 小時最主要的護理焦點為何？
A client is admitted with burns covering 30% of their total body surface area (TBSA). What is the primary concern in the first 24 hours?
- ANutritional support營養支持
- BPain management疼痛管理
- CFluid resuscitation✓ 正解液體復甦
- DInfection prevention感染預防
— Explanation · 中文詳解 —
大面積燒傷在前 24 小時內，因微血管通透性增加，會發生大量體液移向組織間隙，導致嚴重的低血容積休克。因此，「液體復甦（Fluid resuscitation）」是首要且致命的救命處置。感染與營養問題屬長期復原期的重點。
In the first 24 hours after a major burn, massive fluid shifts occur due to increased capillary permeability, leading to hypovolemic shock. Therefore, aggressive fluid resuscitation is the primary life-saving intervention required during this phase.
✦ 台美臨床差異
兩地均使用 Parkland 公式或改良式公式來計算前 24 小時所需的輸液量。