目 錄
第一篇　內科進階專科護理
壹、傷口照護...............................................................................................3
一、壓力性損傷..............................................................................................4
二、燒傷........................................................................................................10
三、潰瘍傷口...............................................................................................14
四、其他.......................................................................................................15
貳、內分泌系統疾病.................................................................................19
一、甲狀腺疾病...........................................................................................20
二、糖尿病及其合併症...............................................................................27
三、代謝症候群...........................................................................................42
四、其他.......................................................................................................43
參、感染性疾病.........................................................................................53
一、傳染病通報...........................................................................................54
二、感染監測...............................................................................................56
三、抗生素使用...........................................................................................59
四、感染性心內膜炎....................................................................................66
五、肝膿瘍...................................................................................................68
六、後天免疫缺乏症候群....................................................................................70
七、結核病...................................................................................................74
八、泌尿道感染...........................................................................................80
九、其他.......................................................................................................83
十、嚴重特殊傳染性肺炎（COVID-19）....................................................97
肆、癌症...................................................................................................103
一、癌症篩檢.............................................................................................104
二、癌症及合併症......................................................................................110
三、化學治療及合併症..............................................................................118
伍、疼痛控制...........................................................................................125

第二篇　特定疾病問題判斷與處置
壹、心血管系統疾病...............................................................................135
一、心臟科檢查..........................................................................................136
二、高血壓..................................................................................................141
三、心電圖判讀..........................................................................................146
四、心律不整..............................................................................................158
五、急性冠心症..........................................................................................162
六、肺栓塞..................................................................................................166
七、心衰竭..................................................................................................170
八、其他......................................................................................................172
貳、呼吸系統疾病.................................................................................. 179
一、症狀學的鑑別診斷.................................................................................180
二、理學檢查..............................................................................................182
三、X 光片判讀..........................................................................................183
四、肺炎......................................................................................................186
五、肋膜積液..............................................................................................190
六、呼吸器評估.........................................................................................206
七、其他......................................................................................................208
參、消化系統疾病...................................................................................213
一、消化性潰瘍..........................................................................................214
二、胰臟炎..................................................................................................219
三、膽道疾病.............................................................................................223
四、肝炎.....................................................................................................226
五、肝硬化及其合併症.............................................................................233
六、腸道疾病..............................................................................................237
七、其他.....................................................................................................242
肆、神經系統疾病...................................................................................247
一、神經學評估..........................................................................................248
二、重症肌無力..........................................................................................252
三、癲癇......................................................................................................255
四、腦膜炎..................................................................................................259
五、腦中風..................................................................................................261
六、譫妄.....................................................................................................265
七、失智症..................................................................................................269
八、帕金森氏症..........................................................................................274
九、其他.....................................................................................................275
伍、腎臟系統疾病...................................................................................281
一、體液電解質.........................................................................................282
二、酸鹼狀態改變.....................................................................................289
三、急性腎損傷.........................................................................................292
四、慢性腎疾病.........................................................................................297
五、有機磷中毒.........................................................................................301
六、腎臟移植.............................................................................................302
七、尿失禁.................................................................................................304
八、泌尿系統阻塞性疾病..........................................................................304
九、其他......................................................................................................311
陸、貧血...................................................................................................313

第三篇　急重症問題判斷與處置
壹、休克及敗血症...................................................................................319
貳、高級救命術.......................................................................................335
一、成人生存之鏈.....................................................................................336
二、系統性評估處置..................................................................................336