問題詳情
76 一位 78 歲男性因意識不清被送至急診,血壓 70/35 mmHg,心跳 42/min,呼吸 18/min。除立即給病人氧氣外,接下來如何處理最為適當?
(A)立即準備貼上經皮心律調節器(transcutaneous pacemaker),如果沒有可先使用 epinephrine 或dopamine 提升心跳及血壓
(B)病人有休克現象,應先給予生理食鹽水(normal saline)500 ml,再做 12 導程心電圖分析心律
(C)先觀察 5 分鐘,著手找出心跳慢的原因,以對症下藥
(D)不可拖延,立即會診心臟科醫師置入暫時性經靜脈心律調節器(temporary transvenous pacemaker)
(A)立即準備貼上經皮心律調節器(transcutaneous pacemaker),如果沒有可先使用 epinephrine 或dopamine 提升心跳及血壓
(B)病人有休克現象,應先給予生理食鹽水(normal saline)500 ml,再做 12 導程心電圖分析心律
(C)先觀察 5 分鐘,著手找出心跳慢的原因,以對症下藥
(D)不可拖延,立即會診心臟科醫師置入暫時性經靜脈心律調節器(temporary transvenous pacemaker)
參考答案
答案:A
難度:非常困難0
統計:A(0),B(1),C(0),D(0),E(0)
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