醫療護理學習路上的，滿滿的筆記陪你！
| Platform |  | Pricing | Freemium | Publishes | Weekly |
|---|---|---|---|---|---|
| Issues | 73 | Founded | 2 years ago | Last Issue | 19 days ago |
| Active | Language |  Korean | |||
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✨護理內外 - 急性膽囊炎✨
病理學
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膽囊管被膽結石阻塞或膽囊排空不良，導致膽汁淤積、膽囊內壓升高與膽囊膨脹，進而引發膽囊壁缺血、炎症與水腫
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結石型態與形成機制
- 膽固醇結石：因膽汁中膽固醇過飽和及膽汁淤積所致
讀書TIPs：膽汁功能 - 脂肪消化與吸收
* 色素結石：因紅血球過度破壞（如溶血）導致血清膽紅素升高而形成
* 鈣結石：與高副甲狀腺功能症等高血鈣疾病相關
- 早期呈現靜脈充血與水腫，隨時間推進可能出現纖維化與慢性發炎細胞，若未...
✨第五次，我終於考過 NCLEX - RN✨
如果你現在正在重考NCLEX
如果你也曾經看到 fail 看到懷疑人生
如果你也覺得自己是不是不適合當護理師
我想跟你說，我考了五次才過
而且我不是不聰明，我只是前幾次，沒有真正全力以赴
來自五戰的考生：吉拿棒 2026.05
考試動機
2024年3月，我來美國讀書
很多人問我：「你英文很好嗎？」、「你怎麼敢直接來美國？」
其實我英文根本沒有大家想像中好，雖然幼稚園是全美語，但國中畢業後，我幾乎十幾年沒有真正碰英文。
我在台灣只有五專畢業，...
✨ 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...
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