薇布WeiBuh\ud83d\udc89護理站
WeiBuh醫療護理學習路上的，滿滿的筆記陪你！
| Platform |  | Pricing | Freemium | Publishes | Weekly |
|---|---|---|---|---|---|
| Issues | 71 | Founded | 2 years ago | Last Issue | 12 days ago |
| Active | Language |  Korean | |||
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weibuh.substack.comLatest Issues
✨ 護理內外 - 口腔癌✨
✨ 護理筆記系列 - 口腔癌✨
口腔癌快速複習
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三大危險因子：嚼檳榔、抽菸、飲酒（即使戒菸、戒檳榔，還是屬於高風險）
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預防篩檢：國民健康署提供30歲以上有嚼檳榔或吸菸習慣的民眾，每 2 年 1 次免費「口腔黏膜檢查」
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早期警訊（持續超過2週)：白斑、紅斑、無痛性潰瘍、口腔硬塊
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晚期徵象：疼痛、咀嚼困難（腫瘤侵犯咀嚼肌、下顎骨）、吞嚥困難、頸部淋巴結腫大
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好發部位：舌側緣、口底、頰黏膜
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90%以上是鱗狀上皮細胞癌（S...
✨2026年紐約州教育廳新規定✨
紐約州教育廳（New York State Education Department, NYSED）
於2026年6月9日發出了email公告
公告
紐約州於2017年制定並於2018年修訂的「BSN in 10（10年內取得護理學士學位）」法案，修正了《教育法》第6905條（Education Law §6905），並為未來護理教育制定了新的標準
該法案規定，除符合法定豁免資格者外，紐約州註冊護理師（RN）必須在首次取得紐約州RN執照後的10年內，取得護理...
✨護理國考解析 - 內外115-1✨
1.陳先生T3~T5脊髓損傷，目前血壓250/140 mmHg，心跳50~55次/分，有大量出汗情形，主訴頭部嚴重疼痛、看東西模糊，超過6小時以上未解尿，陳先生可能發生何種現象?
(A).神經性休克
(B).自主神經過度反射
(C).脊髓自動症
(D).脊髓休克
答案：(B). 自主神經過度反射
T6以上脊髓損傷併發症：膀胱脹尿、便秘（刺激 → 交感神經大量活化 → 血壓劇烈上升）
典型表現：高血壓、心搏過慢、劇烈頭痛、大量出汗、視力模糊...
✨ 護理內外 - 休克 2✨
1. 分布性休克（Distributive Shock）
血管擴張導致血液無法有效循環、嚴重感染（敗血症）
2. 低血容量性休克（Hypovolemic Shock）
因嚴重失血（創傷）、脫水（嘔吐、腹瀉）導致血液量不足
3. 心因性休克（Cardiogenic Shock）
心臟無法有效泵血，如心肌梗塞
4. 阻塞性休克（Obstructive Shock）
心臟外的因素阻礙血液循環，如肺栓塞
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✨ 護理內外 - 休克 １✨
1. 分布性休克（Distributive Shock）
血管擴張導致血液無法有效循環。嚴重感染（敗血症）
A. 全身性發炎反應症候群（Systemic Inflammatory Response Syndrome, SIRS）
B. 敗血性休克（Septic Shock）
C. 過敏性休克（Anaphylactic Shock）
D. 神經性休克（Neurogenic Shock）
E. 內分泌性休克（Endocrine Shock）
2. 低血容量性...
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