作者p51 (愿我如星君如月:D)
看板medstudent
标题[申覆] 医学四第72题
时间Tue Aug 3 15:49:28 2010
小孩休克的goal如下
Physiologic indicators that should be targeted during therapy (with goals in
parentheses) include [7]:
‧Blood pressure (systolic pressure at least 5th percentile for age:
60 mmHg <1 month of age, 70 mmHg + [2 x age in years] in children
1 month to 10 years of age, 90 mmHg in children 10 years of age or
older)
‧Quality of central and peripheral pulses (strong, distal pulses
equal to central pulses)
‧Skin perfusion (warm, with capillary refill <2 seconds)
‧Mental status (normal mental status)
‧Urine output ( >=1 ml/Kg per hour, once effective circulating
volumn is restored.
本题题目：
25 Kg child 休克急救..etc.
答案：
a) 30 ml/HR
建议答案：
送分 四个选项都大於1 ml/Kg/HR
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1F：推 archaea:很认同，当时在考就觉得题意不清，他原本可能要考「至少」 08/03 16:32
2F：→ archaea:但题意不清就该送分 08/03 16:32
3F：→ hiko745:我记得APLS是说小孩要维持1~1.5 ml/min耶~还是我有记错? 08/03 17:04
4F：→ hiko745:大人才是keep 0.5~1ml/min,所以一小时30ml对小孩不够吧 08/03 17:05
5F：推 scsnake:楼上是指ml/kg/min吧 30ml是在1~1.5的范围啊 08/03 17:15
6F：→ hiko745:耶~~~我忘了单位有kg了@@ 08/03 17:36
7F：推 ckyuzi:是ml/kg/hour吧 /min? 08/03 19:23
8F：→ morrobay:附议！这题申覆可能会过耶！我也觉得题意不清！ 08/04 00:39
9F：推 mercury99986:推 08/04 14:27
10F：推 ragwing:我想要写申覆，请问这个Goal的出处是？ 08/04 19:27