推 morrobay:推這題！ 08/05 01:12
推 chihuahua:推!! 08/05 01:24
推 mercury99986:推 08/05 02:38
前文恕刪
資料來源：Kliegman: Nelson Textbook of Pediatrics, 18th ed.
Copyright c 2007 Saunders, An Imprint of Elsevier
Chapter 176 – Sepsis, Septic Shock, and Systemic Inflammatory Response
Syndrome
Supportive Care最後一段：
Monitoring patients with septic shock should minimally include central venous
pressure, arterial blood pressure, pulse oximetry, and hourly urine output.
Other clinical parameters that should be monitored include heart rate,
capillary refill, and mental status. Superior vena cava oxygen saturation may
be an indicator of adequate resuscitation. A superior vena cava oxygen
saturation of >70% in the 1st 6 hours after shock resuscitation has been
associated with improved outcome. There is not enough information to
determine whether or not cardiac echocardiography, pulmonary arterial
catheterization, and gastric tonography should be used to direct therapy in
patients with septic shock. Resuscitation goals include capillary refill <2
sec, normal pulses with no differential between central and peripheral
pulses, warm extremities, urine output of >1 mL/kg/hr, normal mental status,
and normal blood pressure for age.
申覆理由：根據國考指定用書，resuscitation goal的每小時尿量應該>1 mL/kg/hr，本
題幼兒之體重為25kg，尿量每小時應>25ml即可。
故四個選項皆可，建議本題送分。
Nelson都這樣寫了...應該沒有不過的道理吧= =
--
※ 發信站: 批踢踢實業坊(ptt.cc)
◆ From: 61.231.144.95