作者p51 (願我如星君如月:D)
看板medstudent
標題[申覆] 醫學四第72題
時間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.
本題題目：
25 Kg child 休克急救..etc.
答案：
a) 30 ml/HR
建議答案：
送分 四個選項都大於1 ml/Kg/HR
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1F：推 archaea:很認同，當時在考就覺得題意不清，他原本可能要考「至少」 08/03 16:32
2F：→ archaea:但題意不清就該送分 08/03 16:32
3F：→ hiko745:我記得APLS是說小孩要維持1~1.5 ml/min耶~還是我有記錯? 08/03 17:04
4F：→ hiko745:大人才是keep 0.5~1ml/min,所以一小時30ml對小孩不夠吧 08/03 17:05
5F：推 scsnake:樓上是指ml/kg/min吧 30ml是在1~1.5的範圍啊 08/03 17:15
6F：→ hiko745:耶~~~我忘了單位有kg了@@ 08/03 17:36
7F：推 ckyuzi:是ml/kg/hour吧 /min? 08/03 19:23
8F：→ morrobay:附議！這題申覆可能會過耶！我也覺得題意不清！ 08/04 00:39
9F：推 mercury99986:推 08/04 14:27
10F：推 ragwing:我想要寫申覆，請問這個Goal的出處是？ 08/04 19:27