# 一位成人在醫院走廊倒下且沒有正常呼吸後，請排列立即處置的順序。

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=395522&lang=zh-tw  
> language: zh-TW  
> subject: Medical Emergencies  
> category: PA

## 題目

一位成人在醫院走廊倒下且沒有正常呼吸後，請排列立即處置的順序。

啟動緊急應變系統，並指示第二位施救者取來並使用去顫器

去顫器接上後立即分析心律，若建議電擊則迅速執行

在取得去顫器的同時，先開始高品質心肺復甦術，以胸部按壓為先

確認現場安全、檢查反應，並同時評估呼吸與脈搏不超過 10 秒

電擊或未電擊決策後立即恢復心肺復甦術，並持續高級心臟救命術循環

## 解析

迅速確認心臟停止、啟動應變系統並取得去顫器。在儀器到達前立即開始高品質心肺復甦術。分析心律，若為心室顫動或無脈搏心室心搏過速則立即電擊。電擊或未電擊決策後立即恢復按壓，並以最少中斷持續高級心臟救命術流程。

## 深入解析

正確順序
確認心臟停止 → 啟動應變並取得去顫器 → 開始心肺復甦術 → 分析並依指示電擊 → 立即恢復心肺復甦術。

為何正確
存活取決於早期高品質按壓與對可電擊心律的立即去顫。脈搏與呼吸檢查不可造成長時間中斷。

NCLEX 決策原則
每次電擊或未電擊決策後，除非出現生命徵象需要重新評估，否則立即恢復按壓。參考資料
1AHA 2025 Adult Basic Life Support
2AHA 2025 Adult Advanced Life Support

## 臨床情境

成人到院前心臟停止
護理師有手套和手機。第二位施救者與自動體外去顫器可在短時間內到達。請遵循 2025 AHA 成人基本救命術與高級心臟救命術流程。

## 重要概念

- **瀕死呼吸** — 異常的喘氣，不是正常呼吸，可能發生於心臟停止期間。
- **按壓比例** — 復甦時間中進行胸部按壓所佔的比例。
- **去顫** — 用於終止心室顫動或無脈搏心室心搏過速的非同步電擊。

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