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      <image:title>Common Diseases - 汪汪嚴重過敏性反應Anaphylaxis (難度: ★★★★) - Make it stand out</image:title>
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      <image:title>Common Diseases - 敗血症（Sepsis）和全身性炎症反應綜合徵（SIRS） Sepsis and SIRS (難度: ★★★★) - Make it stand out</image:title>
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      <image:title>Common Diseases - 瀰漫性血管內凝血 Disseminated Intravascular Coagulation (DIC) (難度: ★★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 瀰漫性血管內凝血 Disseminated Intravascular Coagulation (DIC) (難度: ★★★★) - Make it stand out</image:title>
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      <image:title>Common Diseases - 動脈血栓栓塞- Arterial Thromboembolism（ATE） (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 動脈血栓栓塞- Arterial Thromboembolism（ATE） (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 動脈血栓栓塞- Arterial Thromboembolism（ATE） (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 門脈系統分流 Portosystemic Shunt (難度: ★★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 喵喵下泌尿道疾病&amp;nbsp; Feline Lower Urinary Tract Disease (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 喵喵下泌尿道疾病&amp;nbsp; Feline Lower Urinary Tract Disease (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 喵喵下泌尿道疾病&amp;nbsp; Feline Lower Urinary Tract Disease (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 胃脹氣及扭轉 GDV- Gastric Dilatation and Volvulus (難度: ★★★★ ★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 胃脹氣及扭轉 GDV- Gastric Dilatation and Volvulus (難度: ★★★★ ★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 胃脹氣及扭轉 GDV- Gastric Dilatation and Volvulus (難度: ★★★★ ★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 汪汪甲狀腺功能減退 Hypothyroidism in Dogs (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 汪汪甲狀腺功能減退 Hypothyroidism in Dogs (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 汪汪甲狀腺功能減退 Hypothyroidism in Dogs (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 汪汪甲狀腺功能減退 Hypothyroidism in Dogs (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 喵喵甲狀腺功能亢進 Hyperthyroidism in Cats (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 喵喵甲狀腺功能亢進 Hyperthyroidism in Cats (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 喵喵甲狀腺功能亢進 Hyperthyroidism in Cats (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 喵喵甲狀腺功能亢進 Hyperthyroidism in Cats (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 喵喵甲狀腺功能亢進 Hyperthyroidism in Cats (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 喵喵甲狀腺功能亢進 Hyperthyroidism in Cats (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 良性前列腺增生Benign Prostatic Hyperplasia (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  </url>
  <url>
    <loc>https://www.nerdyvetnurse.com/common-diseases/pleural-effusion-nbsp-</loc>
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      <image:title>Common Diseases - 胸腔積液Pleural Effusion &amp;nbsp;(難度: ★★★) - Make it stand out</image:title>
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      <image:title>Common Diseases - 胸腔積液Pleural Effusion &amp;nbsp;(難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 胸腔積液Pleural Effusion &amp;nbsp;(難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 胸腔積液Pleural Effusion &amp;nbsp;(難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  </url>
  <url>
    <loc>https://www.nerdyvetnurse.com/common-diseases/-icterus-jaundice-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-12-04</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/9c53488f-2ea9-4035-bf94-c1e681c68302/Common+Dz-+Hepatobiliary-+Jaundice.png</image:loc>
      <image:title>Common Diseases - 黃疸 Icterus (Jaundice) (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 黃疸 Icterus (Jaundice) (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 黃疸 Icterus (Jaundice) (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 黃疸 Icterus (Jaundice) (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  </url>
  <url>
    <loc>https://www.nerdyvetnurse.com/common-diseases/-gallbladder-mucocele-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-11-20</lastmod>
    <image:image>
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      <image:title>Common Diseases - 膽囊黏液囊腫 Gallbladder Mucocele (難度: ★★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 膽囊黏液囊腫 Gallbladder Mucocele (難度: ★★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 膽囊黏液囊腫 Gallbladder Mucocele (難度: ★★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  </url>
  <url>
    <loc>https://www.nerdyvetnurse.com/common-diseases/-obstipation-nbsp-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-11-02</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/7d1f2335-73e9-45d8-a8a8-eb9ece829f9d/Common+dz-+Digestive-+Obstipation.png</image:loc>
      <image:title>Common Diseases - 阻塞性便秘 Obstipation &amp;nbsp;(難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/cbb24ae1-c348-4b53-bf3c-d154cd9ff66f/download.jpg</image:loc>
      <image:title>Common Diseases - 阻塞性便秘 Obstipation &amp;nbsp;(難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/66494f55-39fd-47a9-9efa-3f3d3ca1fda3/Normal+Colon.png</image:loc>
      <image:title>Common Diseases - 阻塞性便秘 Obstipation &amp;nbsp;(難度: ★★★) - Make it stand out</image:title>
      <image:caption>正常尺寸的結腸</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/e5251136-ea71-4f0c-87e1-d933e01e3b5e/Megacolon.png</image:loc>
      <image:title>Common Diseases - 阻塞性便秘 Obstipation &amp;nbsp;(難度: ★★★) - Make it stand out</image:title>
      <image:caption>過份擴張的結腸－「巨大結腸」（Megacolon）</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/941b96bc-bcb3-4c33-85d6-1735bf7c2e8a/Subtotal+Colectomy-+Poo.jpg</image:loc>
      <image:title>Common Diseases - 阻塞性便秘 Obstipation &amp;nbsp;(難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  <url>
    <loc>https://www.nerdyvetnurse.com/common-diseases/-constipation-nbsp-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-10-23</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/d0154a14-635e-4a61-beaf-9f73aae3bd29/Common+dz-+digestive-+constipation.png</image:loc>
      <image:title>Common Diseases - 便秘 Constipation &amp;nbsp;(難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/14af08aa-fdfb-4b11-92df-4deb40d3e3d6/Colon.png</image:loc>
      <image:title>Common Diseases - 便秘 Constipation &amp;nbsp;(難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 便秘 Constipation &amp;nbsp;(難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  </url>
  <url>
    <loc>https://www.nerdyvetnurse.com/common-diseases/pyometra-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-10-16</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/a861c9e2-77fa-4bb7-ac2b-7121d2063493/Common+Dz-+Reproductive-+Pyometra.png</image:loc>
      <image:title>Common Diseases - 子宮蓄膿Pyometra (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/7662f46a-6b0b-416f-9f42-80f7cf88aeed/Vaginal+Discharge.jpg</image:loc>
      <image:title>Common Diseases - 子宮蓄膿Pyometra (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/120210fb-76fb-4161-bf25-44348638c861/Pyo.jpg</image:loc>
      <image:title>Common Diseases - 子宮蓄膿Pyometra (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  <url>
    <loc>https://www.nerdyvetnurse.com/common-diseases/-ataxia-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-09-25</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/ced76c4f-a8c4-4f95-be1b-a3da76e80e33/Common+Dz-+Neurological-+Ataxia.png</image:loc>
      <image:title>Common Diseases - 共濟失調 Ataxia (難度: ★★★) - Make it stand out</image:title>
      <image:caption>如果病人在行走時蹣跚不穩，像喝醉了酒一樣，這種狀況就被稱為共濟失調（Ataxia）。共濟失調是指無法進行正常協調、自主運動的症狀，但卻不是由於肌肉無力（Muscle Weakness）、不自主的痙攣（Involuntary Spasms）或運動能力不足所引起的。一般而言，共濟失調是由於某種中樞神經系統（CNS- Central Nervous System ）問題導致的，即是指大腦無法正確告知身體該做什麼。   共濟失調會影響病人協調頭部、腿部和身體的能力。例如病人在行走時會無法正確地放置腿部，導致腳趾朝下拖行（Dragging）。由於病人無法意識到自己的腳在哪裡，因此他們無法簡單地將其翻回正常位置以正常行走，拖行腳趾亦會導致擦傷。並不是所有患有共濟失調的病人都會拖腳而行，有些病人的腿部放置動作可能會變得誇張，又或者左右兩邊腳交叉而行。   共濟失調需要與其他身體系統疾病排除出來，需要與肌肉骨骼疾病（Musculoskeletal）所引起的跛行（Lameness）或無力症狀區分開來。根據內耳（Inner Ear）、大腦（Brain）和/或脊椎（Spine）是否受到影響，汪汪和喵喵可能會出現三種不同類型的共濟失調：</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.nerdyvetnurse.com/common-diseases/-congestive-heart-failure-chf-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-08-28</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/46b9628e-5f5b-4c3d-a139-b807760119f9/Common+Dz-+Cardiovascular-+CHF.png</image:loc>
      <image:title>Common Diseases - 充血性心力衰竭- Congestive Heart Failure (CHF) (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/2c8e6349-c2da-446e-afe1-c477bd869eb8/Pulmonary+oedema.png</image:loc>
      <image:title>Common Diseases - 充血性心力衰竭- Congestive Heart Failure (CHF) (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/bff6ccc6-797b-4324-9f77-9c41f1a0e21e/Xray+and+Echo.png</image:loc>
      <image:title>Common Diseases - 充血性心力衰竭- Congestive Heart Failure (CHF) (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.nerdyvetnurse.com/common-diseases/-hypoadrenocorticism-addisons-disease-nbsp-nbspwritersavina-mo-veterinary-student</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-09-20</lastmod>
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      <image:title>Common Diseases - 腎上腺皮質激素減退 Hypoadrenocorticism (Addison’s Disease) &amp;nbsp;(難度: ★★★★)&amp;nbsp;Writer:Savina Mo, Veterinary Student - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/ee623701-6d8e-449d-ad1d-114d0a4e1079/Feedback+System.png</image:loc>
      <image:title>Common Diseases - 腎上腺皮質激素減退 Hypoadrenocorticism (Addison’s Disease) &amp;nbsp;(難度: ★★★★)&amp;nbsp;Writer:Savina Mo, Veterinary Student - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/7d143497-85ad-40a9-a04b-76144f742fdc/Addisons+Symptoms.png</image:loc>
      <image:title>Common Diseases - 腎上腺皮質激素減退 Hypoadrenocorticism (Addison’s Disease) &amp;nbsp;(難度: ★★★★)&amp;nbsp;Writer:Savina Mo, Veterinary Student - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.nerdyvetnurse.com/common-diseases/-conjunctivitis-nbsp-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-09-20</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/0866859f-0e29-402b-81a1-5985a6df4921/Common+Disease-+Ocular-+Conjunctivitis.png</image:loc>
      <image:title>Common Diseases - 結膜炎 Conjunctivitis &amp;nbsp;(難度: ★) - Make it stand out</image:title>
      <image:caption>結膜炎（Conjunctivitis）是描述結膜（眼瞼內側和眼白）發炎的醫學術語。結膜炎可以作為上呼吸道感染的一部分病徵出現，類似於普通的感冒；它也可能與導致眼部創傷或刺激的局部問題有關。結膜炎的症狀包括眼睛紅腫、分泌物、刺激和癢感。如果不治療，結膜炎可能會導致角膜潰瘍或視力喪失，因此如果你的寵物出現任何結膜炎的症狀，應尋求獸醫的幫助。</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/4cfb3529-9036-43ec-8ede-0ac9cbf78f91/Conjunctivitis.png</image:loc>
      <image:title>Common Diseases - 結膜炎 Conjunctivitis &amp;nbsp;(難度: ★) - Make it stand out</image:title>
      <image:caption>引起結膜炎的原因包括： 空氣中的刺激物，如香煙、煙霧、灰塵和香水 影響整個身體的全身性疾病（Systemic Disease），如貓疱疹病毒（Feline Herpesvirus）、貓免疫力缺乏病毒（FIV- Feline Immunodeficiency Virus）、狗瘟（Canine Distemper）和貓抓病（由細菌引起的疾病，會影響人類）（Cat Scratch Disease） 乾眼症（Keratoconjunctivitis），是一種因淚液分泌不足而引起的眼部醫學狀況 眼瞼內翻（Entropion）。由於眼瞼畸形，使眼瞼邊緣向內捲曲； 眼睫毛會刮傷眼睛並引起刺激 眼部外傷，如撞擊 結膜炎的嚴重程度會因病例而有很大的差異。只有在極少數情況下，才會導致失明。   大多數結膜炎主要的治療為使用直接塗抹在眼睛上的眼藥水或軟膏。如果結膜炎與其他疾病有關，例如上呼吸道感染，獸醫可能會同時配發口服抗生素或其他藥物。結膜炎在許多情況下，經過僅僅幾次治療，就會開始有明顯改善。   如果結膜炎與眼瞼內翻有關，獸醫可能會建議進行手術來矯正畸形的眼瞼。同樣地，如果寵物患有乾眼症，可能會建議進行長期管理以控制病情。</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.nerdyvetnurse.com/common-diseases/-hyperadrenocorticism-cushings-syndrome-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-09-20</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/d85af59a-a994-4077-b302-459823b9e3fe/Common+Disease-+Endocrine-+Cushings.png</image:loc>
      <image:title>Common Diseases - 腎上腺皮質激素亢進 Hyperadrenocorticism (Cushing’s Syndrome) (難度: ★★★ ★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/becc1860-1ea5-4525-ba57-b5ebfdd552b8/Feedback+System.png</image:loc>
      <image:title>Common Diseases - 腎上腺皮質激素亢進 Hyperadrenocorticism (Cushing’s Syndrome) (難度: ★★★ ★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/3d0aa88f-dbec-4141-aae2-19ee562d7d9d/Cushings+signs.png</image:loc>
      <image:title>Common Diseases - 腎上腺皮質激素亢進 Hyperadrenocorticism (Cushing’s Syndrome) (難度: ★★★ ★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  </url>
  <url>
    <loc>https://www.nerdyvetnurse.com/common-diseases/-pancreatitis-nbsp-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-09-20</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/3fc49278-2c3a-48d6-bc3d-a2b2fd027774/Common+Disease-+Digestive-+Pancreatitis.png</image:loc>
      <image:title>Common Diseases - 胰臟炎 Pancreatitis &amp;nbsp;(難度: ★★★) - Make it stand out</image:title>
      <image:caption>胰臟炎（Pancreatitis）是指胰臟發炎的情況，可以是急性（Acute）或慢性（Chronic）的，兩種形式都可以由輕微至嚴重不等。嚴重的胰臟炎通常伴有胰臓壞死（Pancreatic Necrosis）、多種全身並發症（Multiple Systemic Complications）和很差的前景。那麼，在正式了解胰臟炎之前，我們先認識一下胰臟吧。</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/03ab2770-052d-4e29-844b-277acbb738b5/Pancreas.png</image:loc>
      <image:title>Common Diseases - 胰臟炎 Pancreatitis &amp;nbsp;(難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 胰臟炎 Pancreatitis &amp;nbsp;(難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
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      <image:title>Common Diseases - 胰臟炎 Pancreatitis &amp;nbsp;(難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
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    <loc>https://www.nerdyvetnurse.com/common-diseases/-diabetic-ketoacidosis-nbsp-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-09-20</lastmod>
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      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
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      <image:title>Common Diseases - 糖尿病酮酸中毒 Diabetic Ketoacidosis &amp;nbsp;(難度: ★★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
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      <image:title>Common Diseases - 糖尿病酮酸中毒 Diabetic Ketoacidosis &amp;nbsp;(難度: ★★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
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      <image:title>Common Diseases - 糖尿病酮酸中毒 Diabetic Ketoacidosis &amp;nbsp;(難度: ★★★★) - Make it stand out</image:title>
      <image:caption>前景 Prognosis DKA 病人的前景取決於對治療的反應、疾病的嚴重程度以及可能存在的任何其他疾病。DKA 的病人的高死亡率很高，通常與導致DKA 的基礎疾病及治療期間衍生的並發症有關。</image:caption>
    </image:image>
  </url>
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    <loc>https://www.nerdyvetnurse.com/common-diseases/-diabetes-mellitus-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-09-20</lastmod>
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      <image:title>Common Diseases - 糖尿病 Diabetes Mellitus (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
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      <image:title>Common Diseases - 糖尿病 Diabetes Mellitus (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  </url>
  <url>
    <loc>https://www.nerdyvetnurse.com/common-diseases/-cataract-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-09-20</lastmod>
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      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 白內障 Cataract (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  </url>
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    <loc>https://www.nerdyvetnurse.com/common-diseases/-glaucoma-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-09-20</lastmod>
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      <image:title>Common Diseases - 青光眼 Glaucoma (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
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      <image:title>Common Diseases - 青光眼 Glaucoma (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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    <image:image>
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      <image:title>Common Diseases - 青光眼 Glaucoma (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
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      <image:title>Common Diseases - 青光眼 Glaucoma (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  </url>
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    <loc>https://www.nerdyvetnurse.com/common-diseases/-seizures-advance-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-09-20</lastmod>
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      <image:title>Common Diseases - 癲癇進階 Seizures Advance (難度: ★★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/3dea67a0-885c-4275-80c1-82542751256b/SE+Compensatory+VS+Decompensatory.png</image:loc>
      <image:title>Common Diseases - 癲癇進階 Seizures Advance (難度: ★★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/7d5959a7-171d-4654-a880-6d2f771d563e/Neuro+check.jpg</image:loc>
      <image:title>Common Diseases - 癲癇進階 Seizures Advance (難度: ★★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/e49f5a6e-b4c1-4333-8d5c-0f0d6c2e3b3c/CRI+Propofol.jpg</image:loc>
      <image:title>Common Diseases - 癲癇進階 Seizures Advance (難度: ★★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.nerdyvetnurse.com/common-diseases/-seizures-overview-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-09-20</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/45591310-2982-4746-94b3-cda0fd3e998c/Common+Disease-+Neurological-+Seizure+Overview.png</image:loc>
      <image:title>Common Diseases - 癲癇淺談 Seizures Overview (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/a6cdb51d-e956-4a2c-b25f-e6ae4bf07800/Left+right+brain.png</image:loc>
      <image:title>Common Diseases - 癲癇淺談 Seizures Overview (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
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      <image:title>Common Diseases - 癲癇淺談 Seizures Overview (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  </url>
  <url>
    <loc>https://www.nerdyvetnurse.com/common-diseases/cruciate-ligament-rupture</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-09-20</lastmod>
    <image:image>
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      <image:title>Common Diseases - 十字韌帶斷裂 Cruciate Ligament Rupture (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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    <image:image>
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      <image:title>Common Diseases - 十字韌帶斷裂 Cruciate Ligament Rupture (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 十字韌帶斷裂 Cruciate Ligament Rupture (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 十字韌帶斷裂 Cruciate Ligament Rupture (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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    <image:image>
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      <image:title>Common Diseases - 十字韌帶斷裂 Cruciate Ligament Rupture (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
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    <loc>https://www.nerdyvetnurse.com/common-diseases/canine-atopic-dermatitis-cad</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-09-20</lastmod>
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      <image:title>Common Diseases - 犬隻異位性皮膚炎 Canine Atopic Dermatitis (CAD)(難度:★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 犬隻異位性皮膚炎 Canine Atopic Dermatitis (CAD)(難度:★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  </url>
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    <loc>https://www.nerdyvetnurse.com/common-diseases/khxf0synrqmfdxufzoqtbu9s9o2hx2</loc>
    <changefreq>monthly</changefreq>
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    <lastmod>2023-09-20</lastmod>
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      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 內側髕骨(波羅蓋)移位 Medial Patellar Luxation (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Common Diseases - 內側髕骨(波羅蓋)移位 Medial Patellar Luxation (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Clinical Laboratory - 深入了解電解質（1）Electrolytes in Depth（1） (難度: ★★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Clinical Laboratory - 深入了解電解質（1）Electrolytes in Depth（1） (難度: ★★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Clinical Laboratory - 膽汁酸刺激測試 Bile Acid Stimulation Test (難度: ★★★) - Make it stand out</image:title>
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      <image:title>Clinical Laboratory - 膽汁酸刺激測試 Bile Acid Stimulation Test (難度: ★★★) - Make it stand out</image:title>
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      <image:title>Clinical Laboratory - 血液抹片及常見問題 Blood Smear and Common Problems (難度: ★★★) - Make it stand out</image:title>
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      <image:title>Clinical Laboratory - 血液抹片及常見問題 Blood Smear and Common Problems (難度: ★★★) - Make it stand out</image:title>
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      <image:title>Clinical Laboratory - 血液抹片及常見問題 Blood Smear and Common Problems (難度: ★★★) - Make it stand out</image:title>
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      <image:title>Clinical Laboratory - 血液抹片及常見問題 Blood Smear and Common Problems (難度: ★★★) - Make it stand out</image:title>
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      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Clinical Laboratory - 胰臟特異性脂肪酶 Pancreas-specific Lipase (難度: ★★★) - Make it stand out</image:title>
      <image:caption>可按此連結了解甚麼是胰臟炎： https://www.nerdyvetnurse.com/common-diseases/-pancreatitis-nbsp-</image:caption>
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      <image:title>Clinical Laboratory - 胰臟特異性脂肪酶 Pancreas-specific Lipase (難度: ★★★) - Make it stand out</image:title>
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      <image:title>Clinical Laboratory - 甲狀腺測試 Thyroid Panel (難度: ★★★★) - Make it stand out</image:title>
      <image:caption>甲狀腺測試 Thyroid Panel   Total T4   Total T4是指血液中2種形式的甲狀腺素：一種形式是與血液中的蛋白質結合（T4），另一種則在血液中自由循環（Free T4）。Total T4測量了血液樣本中這2種形式總和的甲狀腺素。如果Total T4濃度在正常範圍內，表示病人沒有甲狀腺功能問題。如果Total T4濃度處於正常範圍的低端或低於正常範圍，而且病人有相應的臨床症狀，那麼很可能是甲狀腺功能減退。不幸的是，除了甲狀腺功能減退外，其他情況也能使Total T4值降低。這些情況包括其他疾病或正在使用某些藥物，如消炎藥。因此，只是 Total T4 的降低與升高並不能完全指向必定與甲狀腺功能問題有關（尤其Total T4 的報告上顯示結果坐落於灰色地帶 Gray Zone/ Low Normal）。   Free T4   這個檢測是測量血液樣本中Free T4的量。Free T4較小會受其他疾病或藥物治療所影響。如果Free T4處於正常範圍內，則表示病人沒有甲狀腺功能問題的情況。如果Free T4低於正常範圍，且病人有相應的臨床症狀，那麼很可能是甲狀腺功能減退。Free T4檢測需要使用一種特殊的技術，這種技術只能在實驗室進行，成本較高且需要更長時間才能得到結果。因此，更常見的是先評估Total T4，如果Total T4的結果不明確，才進一步進行Free T4測試。   TSH（Thyroid-Stimulating Hormone）   TSH由腦下垂體腺體產生。在甲狀腺功能減退的病人中，TSH的濃度可能會增加，因為腦下垂體試圖刺激甲狀腺增加產生甲狀腺素；反之亦然。測量TSH需要將血液樣本送往實驗室進行，但結果需要與同時測量的Total T4和Free T4一起解讀。TSH、Free T4和Total T4基本上已經可以有效地排除了甲狀腺功能問題的可能性。   雖然還有其他用於評估甲狀腺功能的檢測方法，但上述檢測是最常用於甲狀腺功能問題診斷的，並提供最多的診斷信息。</image:caption>
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      <image:title>Clinical Laboratory - 紅血球比容 Red Blood Cell: Haematocrit (HCT) (難度: ★★) - Make it stand out</image:title>
      <image:caption>常見原因 Hct 下降是貧血（Anaemia）的表現。具體地說，貧血可以來自於紅血球數量減少、紅血球體積減少或血紅蛋白（Hgb：Haemoglobin）濃度減少。貧血可能由以下原因引起：   1. 溶血（Haemolysis） 免疫問題、血液寄生蟲、中毒和接觸化學物質、紅血球在血管內受損壞和破碎、特發性或其他原因。 2. 失血（Blood Loss） 外傷、寄生蟲感染、腫瘤破裂、潰瘍、血友病、中毒（老鼠藥）、血小板減少症（Thrombocytopenia）或其他原因。 當有大量失血時，Hct將不會反映出失血程度，直到血清容量重新調整，這通常需要足夠的時間，大概2-6小時。 3. 紅細胞生成減少或缺陷 （Decreased or Defective Erythropoiesis） 慢性疾病貧血、腎臟疾病、病毒：喵喵病毒性白血病（FeLV）、藥物（如化療藥物）、骨髓纖維化、甲狀腺功能下降、高雌激素血症、缺鐵性貧血、中毒、離子化輻射、特發性或其他原因。 4. 在非常小的EDTA樣本中，Hct可能會明顯降低，因為相對過多的液體EDTA可能會稀釋血液並使紅細胞收縮。   相關發現： 網狀紅血球增生異常（Reticulocytosis）意味著骨髓功能正常，並暗示失血或溶血是貧血的原因。 黃疸（Icterus）意味著貧血的原因為溶血。在大多數物種在出現溶血事件後，間接膽紅素（Indirect-acting Bilirubin）會比直接膽紅素（Direct-acting Bilirubin）為高。 低蛋白血症（Hypoproteinemia）意味著貧血的原因是因為失血。 全血細胞减少症（Pancytopenia）（中性白血球减少Neutropenia、貧血Anaemia 和血小板减少Thrombocytopenia）高度暗示骨髓功能衰竭。</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/50e00944-7a14-451b-b7c8-945e194551d3/High+HCT.png</image:loc>
      <image:title>Clinical Laboratory - 紅血球比容 Red Blood Cell: Haematocrit (HCT) (難度: ★★) - Make it stand out</image:title>
      <image:caption>常見原因 Hct高於參考值被稱為多紅血球症（Polycythemia）。 多紅血球症可能是由於脫水（Dehydration）或血管通透性（Vascular Permeability）增加而導致內部液體（血清）重新分布，例如出現休克（Shock）時。多紅血球症也可以是由脾臟收縮（Splenic Contraction）引起的。 多紅血球症是指總紅血球質量的增加。其原因包括慢性缺氧（Chronic Hypoxia）、甲狀腺功能亢進（Hyperthyrodism）、不當的促紅血球生成素（EPO：Erythropoietin）（可由腎臟疾病和紅血球腫瘤所引起）。   需要配合其他測試檢查以找出高Hct的原因 測定總血清蛋白（Total Serum Protein）、尿素（BUN：Blood Urea Nitrogen）、肌酐（CREA：Creatinine）和尿比重（USG：Urine Specific Gravity），以評估血清濃縮（脫水）是否為多紅血球症的原因。 進行血氣分析（Blood Gas Analysis）以檢測缺氧（Hypoxia）是否是導致促紅細胞生成素（EPO）增加從而引起多紅血球症。 在懷疑甲狀腺功能亢進並引起輕度多紅血球症的喵喵中，需要進行甲狀腺素（T4：Thyroxine）測試。</image:caption>
    </image:image>
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      <image:title>Therapeutic - 誘導嘔吐- Induce Emesis (難度: ★★★) - Make it stand out</image:title>
      <image:caption>喵喵 Dexmedetomidine, Medetomidine, Xylazine   喵喵對Apomorphine的反應是不可預測的（例如無效），而且在喵喵中亦沒有確定安全有效的劑量，故Apomorphine並不會用於喵喵身上。而可在喵喵身上使用的包括 Dexmedetomidine、Medetomidine或Xylazine。但這3種物質都可能引起心肺抑制（Cardiovascular Depression）。   日常中，Xylazine屬於鎮靜劑的一種，但很大程度上已經被α2 Agonist，即Dexmedetomidine 和Medetomidine 所取代，因為後者具有更好的安全性。Xylazine 可以用於誘導喵喵嘔吐（例如在攝入有毒但非腐蝕性的異物後）。雖然Xylazine是一種有效的藥物，但同時亦具有一些潛在的嚴重副作用，例如對許多器官系統以及心血管系統具有多樣性的影響、利尿、血糖暫時性增加、引起瞳孔散大和降低眼壓等；患有糖尿病、心臟病、老年、 懷孕等的病人一概不建議使用。一經注射後，嘔吐通常會在10分鐘內迅速發生。如果嘔吐沒有發生，進一步的劑量也沒有作用，因為Xylazine 會開始抑制嘔吐中樞，不會再引起進一步的嘔吐。   有研究指出，與Xylazine相比，Dexmedetomidine和Medetomidine在誘導喵喵嘔吐方面可能更有效。在肌肉注射（IM-Intramuscularly）Dexmedetomidine和Medetomidine後嘔可能出現嘔吐，但並不能保證。如果真有作用時，嘔吐應該在注射後的幾分鐘內發生。然而，更需要注意的是，這2種藥物可能會導致鎮靜（Sedated）和低血壓（Hypotension）。使用α2-Agonist的一個好處是可以使用Atipamezole（Antisedan）作為解藥。</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/ca109017-5639-465b-91d2-97aa3c527367/Cat+Emesis.png</image:loc>
      <image:title>Therapeutic - 誘導嘔吐- Induce Emesis (難度: ★★★) - Make it stand out</image:title>
      <image:caption>由於誘導喵喵嘔吐並不容易，亦沒有保證，因此如果無法透過藥物誘發嘔吐時，便需要考慮使用其他方法，例如洗胃（Gastric Lavage）。   嘔吐後   在病人嘔吐後，可能需要使用腸胃保護藥和止嘔吐藥物，以防止持續嘔吐，以保護胃部，降低胃炎和潰瘍的風險。例如使用抗酸劑Antacids（如Omperazole、Cimetidine、Misoprostol）；保護劑（如Sucralfate）；和止嘔吐藥物（如Maropitant和Metoclopramide）。 另外，在誘導嘔吐後需要檢查嘔吐物。嘔吐物可以提供有關胃內物質的寶貴信息，例如毒素、異物或不尋常的物質是否存在。這可以幫助指導進一步的診斷和治療決策。此外，評估嘔吐物可以幫助確定催吐劑的有效性，以及是否需要採取其他措施。</image:caption>
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  <url>
    <loc>https://www.nerdyvetnurse.com/therapeutic/-treatment-of-glaucoma-nbsp-</loc>
    <changefreq>monthly</changefreq>
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    <lastmod>2023-09-20</lastmod>
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      <image:title>Therapeutic - 青光眼的治療 Treatment of Glaucoma &amp;nbsp;(難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Therapeutic - 青光眼的治療 Treatment of Glaucoma &amp;nbsp;(難度: ★★) - Make it stand out</image:title>
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      <image:title>Therapeutic - 青光眼的治療 Treatment of Glaucoma &amp;nbsp;(難度: ★★) - Make it stand out</image:title>
      <image:caption>持續控制眼壓的療法   所有緊急降低眼壓的方法都在時間上有局限性。因此，在眼壓降低後，便需要其他療法來維持對眼壓的控制。   碳酸酐酶抑制劑 Carbon Anhydrase Inhibitors （CAIs）   系統性（Systemic）和局部（Topical）的 CAIs 是通過減少睫狀體中碳酸氫鹽（Carbonic Anhydrase）的合成，以減少房水（Aqueous Humor ）的產生。Methazolamide 是口服的 CAI，可用於控制汪汪的眼壓。然而，Methazolamide 可能會導致不良的全身性副作用，包括腸胃不適、代謝酸性中毒（Metabolic Acidosis）和低鉀血症（Hypokalaemia）。   而局部CAI（眼藥水）的優點是可以為眼內提供足夠的藥物濃度，並減少全身性副作用的風險。Brinzolamide（Azopt）和Dorzolamide（Trusopt）是常見的 CAI 眼藥水，能有效降低汪汪和喵喵的眼壓。局部CAI所觀察到的眼壓降低程度與口服CAI相似，而局部 Dorzolamide 最常見的不良反應是滴眼後可能出現短暫的眼瞼痙攣；Brinzolamide 則較不常見。局部 CAI 通常每8-12小時使用一次。   β-阻斷劑 β-Blocker   β-Blocker 是透過對睫狀體（Ciliary Body）中存在的β受體（β Receptors）的影響來減少房水（Aqueous Humor）的生成。使用局部 β-Blocker 可能會出現對心臟和呼吸的不良影響，包括心跳過慢（Sinus Bradycardia）和支氣管收縮（Bronchoconstriction）等。因此，在患有心血管疾病（Cardiovascular Diseases）和哮喘（Asthma）的患者中應避免使用。   β- Blocker 對降低眼壓的效果較為輕微，但這些藥物經常與其他降眼壓療法聯合使用：例如2% Dorzolamide 和0.5% Timolol 的聯合眼藥水（Cosopt）。聯合眼藥水在降低眼壓方面與各自使用每種藥物的效果相同，但聯合使用可以提高患者的依從性（Compliance），因為不需要滴多種眼藥水。</image:caption>
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      <image:title>Therapeutic - 青光眼的治療 Treatment of Glaucoma &amp;nbsp;(難度: ★★) - Make it stand out</image:title>
      <image:caption>其他治療   止痛 Analgesia   在急性青光眼發作期間，大多數患者都需要止痛。系統性止痛藥物可提高患者的舒適度，也很可以提高重複眼壓測量的依從性。   消炎藥物   在大多數急性青光眼的情況下，患者有可能需要消炎治療。局部消炎眼藥水對於眼表面的炎症有幫助。使用頻率和藥物的選擇取決於炎症的程度、葡萄膜炎（Uveitis）和角膜健康狀況。大多數患者每8-12小時需要治療一次。 局部性的非類固醇消炎藥物（Topical NSAID-Non-steroidal Anti-inflammatory Drugs）應該盡量避免使用，因為它們可能會降低 Latanoprost 的功效並令眼壓升高，令情況惡化。口服消炎藥物被認為對於治療急性眼壓升高期間發生的後段（視網膜 Retina 和視神經Optic Nerve）炎症很重要。</image:caption>
    </image:image>
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    <loc>https://www.nerdyvetnurse.com/therapeutic/blog-post-title-four-ke83g</loc>
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    <lastmod>2023-09-20</lastmod>
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    <loc>https://www.nerdyvetnurse.com/therapeutic/-diabetic-treatment-nbsp--bjc7s</loc>
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    <lastmod>2023-09-20</lastmod>
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      <image:title>Therapeutic - 預防保健產品 Supplementary Medicine (難度: ★) - Make it stand out</image:title>
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      <image:title>Therapeutic - 預防保健產品 Supplementary Medicine (難度: ★) - Make it stand out</image:title>
      <image:caption>Omega 3 Fatty Acid 歐米加 3 脂肪酸 來自貝殼油或其他海洋來源的 Omega 3 脂肪酸含有高水平的 Eicosapentaenoic Acid (EPA)  和Docosahexaenoic Acid (DHA) ，能夠改變汪汪的抗炎皮膚反應。 大部分寵物食品提供充足的Omega 6 脂肪酸，但並不提供歐米加 3。歐米加 9 脂肪酸則對汪汪或喵喵沒有好處。 亞麻籽油中含有 Alpha-linolenic Acid (ALA) ，但它被身體轉化為 EPA 和 DHA 的速度緩慢且效率低，因此亞麻籽油在減輕炎症方面似乎不如魚油有效。 在患有骨關節炎汪汪的飲食中，添加高劑量魚油- 歐米加 3 脂肪酸並食用 90 天後；與食用普通飲食的汪汪相比，前者表現出多種有益效果，包括對患有骨關節炎的肢體產生更大的支援。另一項研究表示，在開始補充以魚油為基礎的 omega-3 脂肪酸飲食後，病人在第 6、12 和 24 週出現明顯的臨床改善。歐米加3的飲食配合非類固醇科抗炎藥的結果是：病人在 12 週內，因為添加魚油 omega-3 脂肪酸於飲食內而導致減少25%對消炎藥的需求。</image:caption>
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    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2026-02-08</lastmod>
  </url>
  <url>
    <loc>https://www.nerdyvetnurse.com/equipment-and-analysis/common-diagnostic-testing-for-eyes-</loc>
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    <lastmod>2026-02-23</lastmod>
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      <image:title>Equipment and Analysis - 常見的眼睛診斷測試Common Diagnostic Testing for Eyes (難度: ★★) - Make it stand out</image:title>
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      <image:title>Equipment and Analysis - 常見的眼睛診斷測試Common Diagnostic Testing for Eyes (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Equipment and Analysis - 常見的眼睛診斷測試Common Diagnostic Testing for Eyes (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Equipment and Analysis - 常見的眼睛診斷測試Common Diagnostic Testing for Eyes (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Equipment and Analysis - 常見的眼睛診斷測試Common Diagnostic Testing for Eyes (難度: ★★) - Make it stand out</image:title>
      <image:caption>Photo reference: https://www.vettimes.com/news/vets/small-animal-vets/ocular-ultrasonography-part-1</image:caption>
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      <image:title>Equipment and Analysis - 常見的眼睛診斷測試Common Diagnostic Testing for Eyes (難度: ★★) - Make it stand out</image:title>
      <image:caption>Photo reference: https://onlinelibrary.wiley.com/doi/10.1111/jsap.12727</image:caption>
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      <image:title>Equipment and Analysis - 常見的眼睛診斷測試Common Diagnostic Testing for Eyes (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  <url>
    <loc>https://www.nerdyvetnurse.com/equipment-and-analysis/cprcpr-ecg-algorithm-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2025-07-07</lastmod>
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      <image:title>Equipment and Analysis - CPR心電圖流程CPR ECG Algorithm (難度: ★★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Equipment and Analysis - CPR心電圖流程CPR ECG Algorithm (難度: ★★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Equipment and Analysis - CPR心電圖流程CPR ECG Algorithm (難度: ★★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Equipment and Analysis - CPR心電圖流程CPR ECG Algorithm (難度: ★★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Equipment and Analysis - CPR心電圖流程CPR ECG Algorithm (難度: ★★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  </url>
  <url>
    <loc>https://www.nerdyvetnurse.com/equipment-and-analysis/gastrointestinal-endoscopy-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2025-03-24</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/5aca82da-4248-4c92-bdbb-a6f15a6d8680/Equipment+Analysis-+GI+Endoscopy.png</image:loc>
      <image:title>Equipment and Analysis - 腸胃道內窺鏡Gastrointestinal Endoscopy (難度: ★★★) - Make it stand out</image:title>
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      <image:title>Equipment and Analysis - 腸胃道內窺鏡Gastrointestinal Endoscopy (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Equipment and Analysis - 腸胃道內窺鏡Gastrointestinal Endoscopy (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/51ade98a-8e04-454c-b3ce-702898181ecd/Endoscopy+Handpiece.png</image:loc>
      <image:title>Equipment and Analysis - 腸胃道內窺鏡Gastrointestinal Endoscopy (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/313cff88-159b-489f-975c-1fb3e159fc98/Endoscope+holding+insertion+tube.png</image:loc>
      <image:title>Equipment and Analysis - 腸胃道內窺鏡Gastrointestinal Endoscopy (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/067502d3-9ba2-4898-9458-d5b11583e1ed/%E8%9E%A2%E5%B9%95%E6%88%AA%E5%9C%96+2025-02-19+%E4%B8%8B%E5%8D%889.10.11.png</image:loc>
      <image:title>Equipment and Analysis - 腸胃道內窺鏡Gastrointestinal Endoscopy (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/ee739ce4-0e6c-4448-ab2d-450a3eece038/Endoscope+Umbilical+Cord.png</image:loc>
      <image:title>Equipment and Analysis - 腸胃道內窺鏡Gastrointestinal Endoscopy (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/b7cd95ea-5534-4474-a25a-8166c59ebfac/Endoscope+Leak+Test+.jpg</image:loc>
      <image:title>Equipment and Analysis - 腸胃道內窺鏡Gastrointestinal Endoscopy (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/ee906455-0939-475b-bdb9-364c9ceb45ca/Endoscope+Accessories.png</image:loc>
      <image:title>Equipment and Analysis - 腸胃道內窺鏡Gastrointestinal Endoscopy (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/496da3af-950b-49c2-a5e9-754441596cbd/Reprocessing+Endoscope.jpg</image:loc>
      <image:title>Equipment and Analysis - 腸胃道內窺鏡Gastrointestinal Endoscopy (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  <url>
    <loc>https://www.nerdyvetnurse.com/equipment-and-analysis/spot-blood-glucose-versus-continuous-blood-glucose-monitoring-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-09-20</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/e67b6af4-03b1-4c9f-85db-b0c554662a22/Equipment_+Analysis-+Spot+BG+VS+Continuous+BG+Monitoring.png</image:loc>
      <image:title>Equipment and Analysis - 點測血糖和連續血糖監測比對Spot Blood Glucose Versus Continuous Blood Glucose Monitoring (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Equipment and Analysis - 點測血糖和連續血糖監測比對Spot Blood Glucose Versus Continuous Blood Glucose Monitoring (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Equipment and Analysis - 點測血糖和連續血糖監測比對Spot Blood Glucose Versus Continuous Blood Glucose Monitoring (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Equipment and Analysis - 點測血糖和連續血糖監測比對Spot Blood Glucose Versus Continuous Blood Glucose Monitoring (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  <url>
    <loc>https://www.nerdyvetnurse.com/equipment-and-analysis/f6bm1nbig9qau0bhtk2etjmdby9k0a</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-09-20</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/eb2ee408-40cd-4f6b-be22-5b56ec01494b/Equipment_+Analysis-+ECG+P-QRS-T.png</image:loc>
      <image:title>Equipment and Analysis - 心電圖 Electrocardiogram P-QRS-T &amp;nbsp;(難度: ★★★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/84c78cdc-cdd9-4692-8676-d2a316fc22a2/Cardiac+conduction.png</image:loc>
      <image:title>Equipment and Analysis - 心電圖 Electrocardiogram P-QRS-T &amp;nbsp;(難度: ★★★★★) - Make it stand out</image:title>
      <image:caption>心電圖複合 Complexes   心電圖複合的每個部分其實都與心臟內的電流活動相對應。心電圖用於測量心率和節奏，因此任何情況下，例如危重病患、手術麻醉、曾經昏厥的病人或聽診出現異常的病人，監測心電圖是必需的，醫護人員需要快速識別問題並適當地給予治療。日常來說未必每一種手術都需要監測心電圖，然而某些手術卻是必需要的，包括矯正胃擴張扭轉（Gastric Dilatation and Volvulus）問題、眼科或腎上腺手術，或者有敗血症（Sepsis）、胃腸道疾病、脾臟疾病或上呼吸道阻塞的情況。</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/f188b70e-a363-47d1-8161-7cbe62e566db/ECG.png</image:loc>
      <image:title>Equipment and Analysis - 心電圖 Electrocardiogram P-QRS-T &amp;nbsp;(難度: ★★★★★) - Make it stand out</image:title>
      <image:caption>P Wave P Wave 是竇房結（SA Node）開始去極化（Depolarization）的過程。電流脈衝從右側向左側跨越心房（Atrium），在有次序的方式下心房收縮。當整個心房都被去極化時形成 P Wave。   P-R Interval 房室結（AV Node）緩慢地將脈衝從心房傳導到心室，以允許心室有次序地收縮。由於沒有心肌去極化，因此PR基線會保持平坦。   Q Wave 心室中隔（IVL）去極化。   R Wave 通過Bundle of His，心室的肌肉會被去極化。   S Wave 心室剩餘的區域被去極化。   T Wave 心室的複極化（Repolarization）。T Wave形態在不同病人間可能有很大的差異，通常在小動物醫學上無診斷價值。   心電圖波形 ECG Trace   危及生命的節律通常非常快或非常慢，因此確定心率（Heartrate）是關鍵的第一步。一些ECG 儀器會自動記錄心率，然而你也可以快速計算心率，以6秒間隔計算在此期間內QRS Complexes的數量，乘以10以得到每分鐘的心跳數。以下是一些比較常見的 ECG 問題。   竇性節律 Sinus Rhythms 每個病人都會出現獨特的竇性複合波（Sinus Complexes），因此在確定心率後，重要的是評估每個 Complexes是否具有P-QRS Wave。Sinus Complexes是心臟的正常起搏和傳導過程。其形態包括P Wave、PR Interval、QRS波群和ST波段，不同形態的Sinus Complexes可能反映不同的心臟病理狀態，因此對於心電圖的分析和解讀非常重要。</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/d74c7a7b-999d-4d1b-9fd2-a073c74c324e/Sinus+Rhythms.png</image:loc>
      <image:title>Equipment and Analysis - 心電圖 Electrocardiogram P-QRS-T &amp;nbsp;(難度: ★★★★★) - Make it stand out</image:title>
      <image:caption>這是Sinus Complexes。你可以注意到其穩定和重複的P-QRS-T波形。   竇性心跳過快 Sinus Tachycardia 這是一種有規律的快速節律，每個QRS波群都有一個P Wave。Sinus Tachycardia經常在興奮或緊張的病人中出現，在貓身上非常常見。</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/d1275742-e684-4713-9034-57454a09e194/Sinus+tachycardia.png</image:loc>
      <image:title>Equipment and Analysis - 心電圖 Electrocardiogram P-QRS-T &amp;nbsp;(難度: ★★★★★) - Make it stand out</image:title>
      <image:caption>竇性心跳過慢 Sinus Bradycardia 這是一種有規律的緩慢節律，每個QRS波群依然都有一個P Wave，只是心跳有過慢的情況。Sinus Bradycardia有機會在休息中的狗出現，但也可以在危重的病人身上出現，例如狗的低血容量性休克（Hypovolaemic Shock）。</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/0cb57fb0-5e38-4a7b-9403-e2939774e124/Sinus+Bradycardia.png</image:loc>
      <image:title>Equipment and Analysis - 心電圖 Electrocardiogram P-QRS-T &amp;nbsp;(難度: ★★★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/e65755b0-0189-439d-8055-54c059c7c9a2/Sinus+Arrhythmia.png</image:loc>
      <image:title>Equipment and Analysis - 心電圖 Electrocardiogram P-QRS-T &amp;nbsp;(難度: ★★★★★) - Make it stand out</image:title>
      <image:caption>二度房室傳導阻滯 Second Degree AV Block 2nd Degree AV Block是指心臟的房室傳導系統在傳導衝動時出現問題，導致部分心臟搏動未能傳導到心室（Ventricles），或者傳導延遲。所以ECG上會出現連續P Wave 而沒有隨後的QRS波群。根據心跳的不同，2nd Degree AV Block可能有或沒有臨床意義，但應盡快進行研究及時進行診治。</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/e2d5899a-5dcd-486f-966e-5b061d4e8760/Second+Degree+AV+block.png</image:loc>
      <image:title>Equipment and Analysis - 心電圖 Electrocardiogram P-QRS-T &amp;nbsp;(難度: ★★★★★) - Make it stand out</image:title>
      <image:caption>心室早搏 Ventricular Premature Complexes (VPC) VPC在狗和猫中都很常見，可以由各種心臟和非心臟原因引起。VPC是指心室壁上的一部分肌肉在心臟本應該跳動的時刻提前收縮，使心臟在此時出現了額外的搏動，你可以看見ECG上的QRS波群會提早出現。VPC的形態和大小可以有所不同，需要考慮的常見問題包括其發生的頻率、潛在的心率和疾病進程。</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/4342b189-6749-4761-a9d5-7790e7175482/Ventricular+premature+contraction+VPC.png</image:loc>
      <image:title>Equipment and Analysis - 心電圖 Electrocardiogram P-QRS-T &amp;nbsp;(難度: ★★★★★) - Make it stand out</image:title>
      <image:caption>心室性心跳過快 Ventricular Tachycardia (VT) VT是一種心律不正，指心室壁的一部分肌肉在心臟本應該跳動的時刻異常地、快速地收縮，導致心室跳動速度加快。VT通常是不穩定的，因為心室無法進行適當和有序的收縮，使心臟無法有效地將血液泵送到身體各個部位。ECG上的QRS波群可以呈現出一致或多樣的外觀，但通常非常寬。VT可以由多種因素引起，例如電解質紊亂、心肌缺血、心肌病變等。如果發現VT，應及時進行診治。</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/b174ca4e-34fe-465d-9b3c-73762f4e810f/Ventricular+tachycardia+VT.png</image:loc>
      <image:title>Equipment and Analysis - 心電圖 Electrocardiogram P-QRS-T &amp;nbsp;(難度: ★★★★★) - Make it stand out</image:title>
      <image:caption>房性心律不正 Atrial Arrhythmia 房性心律不正指心房部分肌肉在心臟本應該跳動的時刻發生異常，導致心跳速度不規律或過快。房性心律不正的ECG特點是P Wave異常或缺失。此外，QRS波群通常是狹窄而直立的，而不是與VPCs或VT所見到寬闊的QRS波群外觀相似。房性心律失常通常與心臟結構性疾病有關，如心肌病變、心瓣疾病等。當房性心律失常速度非常快時，可能會導致血流動力（Haemodynamic）不穩定，影響身體各個部位的血液供應。房性心律失常可能表現為心悸、胸悶、呼吸困難等症狀。</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/8253f13c-1956-4cda-9c81-d2955228e2c2/Atrial+Fibrillation.png</image:loc>
      <image:title>Equipment and Analysis - 心電圖 Electrocardiogram P-QRS-T &amp;nbsp;(難度: ★★★★★) - Make it stand out</image:title>
      <image:caption>以上是房顫（Atrial Fibrillation），房性心律不正的一種，指心臟上房部分肌肉發生異常激動，導致心房不規則、快速地收縮，形成無規律的心跳節律。房顫的心電圖特點是沒有明顯的P Wave，取而代之的是無規律的F Wave或複雜的波形，同時QRS波形態正常。同時，房顫的心電圖上的R-R間期也是不規則的。</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/661ed7ea-f3f7-4b18-a090-3bce5f9177d2/Ventricular+fibrillation+V-+Fib.png</image:loc>
      <image:title>Equipment and Analysis - 心電圖 Electrocardiogram P-QRS-T &amp;nbsp;(難度: ★★★★★) - Make it stand out</image:title>
      <image:caption>無脈搏的電性心律不整 Pulseless Electrical Activity (PEA) PEA的ECG特點是出現一定的心電活動，但病人卻無脈搏或其脈搏極其微弱。ECG上常常會出現正常的心跳節律、P Wave、QRS Waves和T Wave，但病人沒有相應的脈搏。PEA的心電圖類型有很多種，具體的類型取決於心電圖上的異常表現和病因。PEA通常是心跳驟停的表現之一，需要立即進行心肺復甦等緊急處理，其及時確定病因和進行相應治療。   心臟停頓Asystole Asystole 是指心臟完全停止跳動，ECG上沒有任何心跳活動。因此，Asystole的ECG沒有任何心跳波形，包括P Wave、QRS Waves和T Wave。在Asystole的狀態下，心臟無法有效地泵血，血流量急劇下降，導致血壓降低，血氧水平下降，容易導致缺氧和器官功能衰竭。治療Asystole需要及時進行心肺復甦等緊急處理，並進行相應的治療，如注射強心藥物等。如果Asystole持續時間過長且未得到及時治療，可能會導致病人死亡。</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/8aa43b71-4337-4a62-8923-a27923903a90/Asystole.png</image:loc>
      <image:title>Equipment and Analysis - 心電圖 Electrocardiogram P-QRS-T &amp;nbsp;(難度: ★★★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.nerdyvetnurse.com/equipment-and-analysis/-electrocardiogram-overview-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-09-20</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/4ddc53b2-c68f-448e-99e2-b3b4ca933d38/Equipment_+Analysis-+ECG+Overview.png</image:loc>
      <image:title>Equipment and Analysis - 心電圖概述 Electrocardiogram Overview (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/a768d307-2ddb-4038-9e72-39bff34c6191/Cardiac+conduction.png</image:loc>
      <image:title>Equipment and Analysis - 心電圖概述 Electrocardiogram Overview (難度: ★★★) - Make it stand out</image:title>
      <image:caption>正常的心臟循環(Cardiac Cycle)起源於右心房(RA- Right Atrium)高位的窦房结 (Sinus Node)的自發性去極化(Spontaneous Depolarization)。然後，一波去極化 (depolarization)電流會通過右心房(RA)，跨越心房間隔(Inter-atrial Septum)傳播 到左心房(LA- Left Atrium)。 心房(Atria)與心室(Ventricles)之間由一個電流不活躍的纖維性環(Fibrous Ring)分 隔，因此在正常的心臟中，從心房到心室的電流傳導的唯一途徑是通過房室結(AV- Atrioventricular Node)。AV Node 會短暫延遲電信號，然後去極化電流會沿著心室間隔 (IVL- Interventricular Septum)傳播(通過 Bundle of His)，進入右心室和左心室。 因此，在正常電流傳導下，左右兩個心室會同時收縮。此時，心臟收縮會將氧合血液 (Oxygenated Blood)通過主動脈(Aorta)泵送出去，並將脫氧血液(Deoxygenated Blood)通過肺動脈(Pulmonary Artery)排出。最後，當心肌放鬆時，心電圖會記錄再極 化(Repolarization)-&gt;放鬆，因為肌肉準備進行下一次收縮(下一個心臟循環)。</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/9a5c524d-7c12-49e5-9d01-640cc1159cc9/Colour+of+ECG+leads.png</image:loc>
      <image:title>Equipment and Analysis - 心電圖概述 Electrocardiogram Overview (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/d3dc50e9-b111-42e2-a0ad-82dae0758fb2/Patient+positioning+for+ECG.png</image:loc>
      <image:title>Equipment and Analysis - 心電圖概述 Electrocardiogram Overview (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.nerdyvetnurse.com/equipment-and-analysis/capnographyanalysis</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-09-20</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/b42fe91e-9100-4cac-8233-e70afe7e7022/Equipment_+Analysis-+Capnography+Analysis.png</image:loc>
      <image:title>Equipment and Analysis - 二氧化碳圖分析CapnographyAnalysis(難度:★★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/8e9efffe-1354-419b-a6bf-7b5d402506c6/Normal+Capnograph+1.jpg</image:loc>
      <image:title>Equipment and Analysis - 二氧化碳圖分析CapnographyAnalysis(難度:★★★★) - Make it stand out</image:title>
      <image:caption>▪ 分析 ETCO2 的波形（如果沒有波形，表示心臟或呼吸已經停止、喉管斷開連接、ET Tube 插管不當、設備故障等） ▪ 確定實際的 ETCO2 值， 正常壓力應於 35-45 mmH ▪ 評估波形的形態如下：</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/12a07e46-3fe5-4acb-b426-c5bfae8a1496/Higher+than+Baseline.gif</image:loc>
      <image:title>Equipment and Analysis - 二氧化碳圖分析CapnographyAnalysis(難度:★★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/a6588646-5d66-4428-915d-ffe5f310a9df/Phase+3+abnormal.gif</image:loc>
      <image:title>Equipment and Analysis - 二氧化碳圖分析CapnographyAnalysis(難度:★★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/73397a83-c6a2-4b90-bcba-0ed1463be3cf/Phase+3+shape.gif</image:loc>
      <image:title>Equipment and Analysis - 二氧化碳圖分析CapnographyAnalysis(難度:★★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/b665b0c9-34a6-40b4-999f-4f05d5980f91/Phase+4+drop.png</image:loc>
      <image:title>Equipment and Analysis - 二氧化碳圖分析CapnographyAnalysis(難度:★★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.nerdyvetnurse.com/equipment-and-analysis/-capnography-overview-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-09-20</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/44f1b610-d082-4c29-a3c1-7415fa83bb3e/Equipment_+Analysis-+Capnography+Overview.png</image:loc>
      <image:title>Equipment and Analysis - 二氧化碳圖概述 Capnography Overview (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/fd581a21-4a85-423a-8beb-7bbe58df8080/Normal+Capnograph+1+%281%29.jpg</image:loc>
      <image:title>Equipment and Analysis - 二氧化碳圖概述 Capnography Overview (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  </url>
  <url>
    <loc>https://www.nerdyvetnurse.com/equipment-and-analysis/anaestheticmonitoringinterpret</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-09-20</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/37a13d31-de37-4778-a9e9-f81638b79a25/Equipment_+Analysis-+Anaesthetic+Monitoring+Interpret+the+Readings.png</image:loc>
      <image:title>Equipment and Analysis - 麻醉監測 - 解讀 Anaesthetic Monitoring- Interpret the Readings (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/b3a22f1e-b3fa-4109-86a1-b3bad2a98a12/SPO2.png</image:loc>
      <image:title>Equipment and Analysis - 麻醉監測 - 解讀 Anaesthetic Monitoring- Interpret the Readings (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/c1d71e62-a6e7-4ef9-8ce5-b406ed70e9c6/SPO2+Waveform.jpg</image:loc>
      <image:title>Equipment and Analysis - 麻醉監測 - 解讀 Anaesthetic Monitoring- Interpret the Readings (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/ec032d93-239f-4156-b4fc-be82c7a498c5/SPO2+PI+Pleth.jpg</image:loc>
      <image:title>Equipment and Analysis - 麻醉監測 - 解讀 Anaesthetic Monitoring- Interpret the Readings (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/9ed658b5-50c3-438e-a171-5900d7152f0f/Normal+Capnograph+1.jpg</image:loc>
      <image:title>Equipment and Analysis - 麻醉監測 - 解讀 Anaesthetic Monitoring- Interpret the Readings (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/a0024875-df71-45d5-b0d2-4c0c1dc82a98/maxresdefault.jpg</image:loc>
      <image:title>Equipment and Analysis - 麻醉監測 - 解讀 Anaesthetic Monitoring- Interpret the Readings (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  <url>
    <loc>https://www.nerdyvetnurse.com/equipment-and-analysis/cardiovascular-circulatory-system-blood-pressure-measurement-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-09-20</lastmod>
    <image:image>
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      <image:title>Equipment and Analysis - Cardiovascular/ Circulatory System- Blood pressure measurement | 心血管循環系統- 正確地量度血壓 (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Equipment and Analysis - Cardiovascular/ Circulatory System- Blood pressure measurement | 心血管循環系統- 正確地量度血壓 (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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    <image:image>
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      <image:title>Equipment and Analysis - Cardiovascular/ Circulatory System- Blood pressure measurement | 心血管循環系統- 正確地量度血壓 (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Equipment and Analysis - Cardiovascular/ Circulatory System- Blood pressure measurement | 心血管循環系統- 正確地量度血壓 (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  <url>
    <loc>https://www.nerdyvetnurse.com/equipment-and-analysis/cardiovascular-circulatory-system-blood-pressure-device-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
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    <image:image>
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      <image:title>Equipment and Analysis - Cardiovascular/ Circulatory System- Blood pressure device | 心血管循環系統- 血壓儀器 (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Equipment and Analysis - Cardiovascular/ Circulatory System- Blood pressure device | 心血管循環系統- 血壓儀器 (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Nursing Skills - 基本傷口護理Basic Wound Management (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/8681bac5-ac5e-457c-8d41-285729186427/Wound+debridement.jpg</image:loc>
      <image:title>Nursing Skills - 基本傷口護理Basic Wound Management (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/c85899e9-c330-4a51-ada4-8bb34e68de7b/Stitch+up+with+drain.jpg</image:loc>
      <image:title>Nursing Skills - 基本傷口護理Basic Wound Management (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  </url>
  <url>
    <loc>https://www.nerdyvetnurse.com/nursing-skills/-5-5-pillars-of-a-healthy-feline-environmentnbsp-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-09-18</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/c6fcda84-065b-42b8-8f31-d60d0337ee6a/Nursing+Skill-+5+Pillars+of+a+Healthy+Feline+Environment.png</image:loc>
      <image:title>Nursing Skills - 健康貓科環境的 5 大支柱5 Pillars of a Healthy Feline Environment&amp;nbsp; (難度: ★★) - Make it stand out</image:title>
      <image:caption>貓科動物本質上是野生動物（Wild Animals），雖然他們已經慢慢融入家中，但其實仍然保留許多在野外生存的本能，而即使他們已經成為寵物，在許多的情況下我們仍然可以看到這些本能行為。作為主人或照顧者，我們必須嘗試從喵喵的角度來看待他們與我們的生活空間，並提供一個可以讓他們持續釋放自然本能的環境。   美國貓科醫學協會（AAFP- American Association of Feline Practitioners）及國際貓科醫學會（ISFM- International Society of Feline Medicine）在其《貓科環境需求指南Feline Environmental Needs Guideline》中提出了健康貓科環境的5大支柱。這篇指南指出如何滿足家中喵喵的需求，以及在獸醫和收容所中喵喵的需求。   眾所周知，壓力對喵喵有著重要的影響，並可能導致各種行為和健康問題。以下是壓力對於喵喵的一些可能影響： 行為問題：壓力可能導致喵喵表現出各種行為問題，如不當排泄、抓擊傢俱、攻擊其他動物或人類、過度舔毛等。這些行為問題可能是喵喵尋求安全感或表達焦慮的方式。 排尿問題：壓力可能導致喵喵避免使用貓砂盤，導致不當排泄行為。喵喵亦可能因為壓力感到不安，不喜歡貓砂的位置、類型或清潔程度，或者受到其他喵喵的威脅而選擇不使用貓砂盤。更嚴重的是，長期的壓力亦可以導致喵喵出現下泌尿道疾病（FLUTD- Feline Lower Urinary Tract Disease）和排尿困難。 毛髮問題：壓力可能導致貓隻過度舔毛（Excessive Grooming），甚至引起毛球形成或皮膚問題，如皮膚發炎或嚴重掉毛。這種行為可能是喵喵處理壓力和焦慮的一種自我安慰方式。 食慾問題：壓力可能導致喵喵的食慾改變，包括食慾減退或食慾增加。壓力可能使喵喵對食物失去興趣，或者反過來導致過食或選擇性進食。 社交問題：壓力可能影響喵喵的社交行為，使其變得孤立或對其他喵喵或人類表現出攻擊性。壓力可能使喵喵變得敏感或易怒，導致社交問題和行為衝突。</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/3c397492-c651-4c9a-836c-6924843885d1/Nervous+Car.png</image:loc>
      <image:title>Nursing Skills - 健康貓科環境的 5 大支柱5 Pillars of a Healthy Feline Environment&amp;nbsp; (難度: ★★) - Make it stand out</image:title>
      <image:caption>綜上所述，壓力對喵喵的影響是多方面的，並且會對喵喵的行為、家庭關係和健康產生負面影響。因此，提供一個適應貓隻需求的環境，減少壓力源，以及提供適當的社交、遊戲和舒適的空間，對維持貓隻的幸福和健康至關重要。   健康貓科環境的五大支柱   （1）提供安全的空間 Provide a Safe Place 每隻喵喵都需要一個安全的空間，可以隨時撤退、躲藏、並感到安全和受到保護。根據喵喵喜歡躲藏和於高處觀察獵物的個性，你需要為他提供高處貓架、貓籠、甚至是一個盒子。通常，喵喵在封閉、較暗，但有兩側可進出的空間中會感到安全。在多喵家庭中，您應該給予每一隻喵喵都有私人的安全空間，最好不要將他們放得離對方太靠近（最好觀察一下每一隻喵喵最喜愛躲藏的安全空間）。</image:caption>
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      <image:title>Nursing Skills - 健康貓科環境的 5 大支柱5 Pillars of a Healthy Feline Environment&amp;nbsp; (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Nursing Skills - 健康貓科環境的 5 大支柱5 Pillars of a Healthy Feline Environment&amp;nbsp; (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/d1cd77b5-d6f9-44ea-acee-f2cf190063b5/Pillar+3-+Play.png</image:loc>
      <image:title>Nursing Skills - 健康貓科環境的 5 大支柱5 Pillars of a Healthy Feline Environment&amp;nbsp; (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/071821dd-543d-4b2c-be42-30d6ce14432c/Pillar+4-+Social+Relationship.png</image:loc>
      <image:title>Nursing Skills - 健康貓科環境的 5 大支柱5 Pillars of a Healthy Feline Environment&amp;nbsp; (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Nursing Skills - 健康貓科環境的 5 大支柱5 Pillars of a Healthy Feline Environment&amp;nbsp; (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  </url>
  <url>
    <loc>https://www.nerdyvetnurse.com/nursing-skills/constant-rate-infusion-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-09-20</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/99e4ef59-c505-47c2-ac41-36f8809c698a/Nursing+Skill-+CRI.png</image:loc>
      <image:title>Nursing Skills - 恆定速率輸注Constant Rate Infusion (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/806b2ddf-b619-4fd5-91cb-53ab9769199e/Know+your+medication.png</image:loc>
      <image:title>Nursing Skills - 恆定速率輸注Constant Rate Infusion (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/777005a0-4830-4faf-9016-bc4620f013c1/Know+your+pump.png</image:loc>
      <image:title>Nursing Skills - 恆定速率輸注Constant Rate Infusion (難度: ★★★) - Make it stand out</image:title>
      <image:caption>獸醫護士在預備CRI需注意藥物準確性、監測病人、輸注安全、器械清潔消毒等，以確保病人安全和治療效果。</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.nerdyvetnurse.com/nursing-skills/feline-grimace-scalenbsp-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-08-07</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/b105cf2d-b0d8-4fde-ba50-4f227421ab1c/Nursing+skill-+Feline+Grimace+Scale.png</image:loc>
      <image:title>Nursing Skills - 喵喵疼痛表情參照Feline Grimace Scale&amp;nbsp; (難度: ★★) - Make it stand out</image:title>
      <image:caption>喵喵的面部表情可能很微妙，對於未經訓練的人來說很難察覺他們的身心理變化。但你其實可以透過觀察喵喵的耳朵、眼睛、口鼻、鬍鬚和頭部位置來了解喵喵有沒有可能正在經歷疼痛（以及程度）。由於喵喵是忍痛的大師，所以當我們要試圖弄清楚他們的感受時，便需要一套明確的指標。   有許多指標都可以表明喵喵的身心狀況。疼痛會反映在某些身體上的變化上，例如難以往/從高處跳上或跳下、食慾減少和追逐時出現困難。此外，行為上的改變也可能發生，例如活動水平下降、與人的互動減少，以及變得更加易怒或沉默。但喵喵的面部表情原來也可以成為評估貓咪在急性狀態下（例如經歷醫療、手術或創傷時）的疼痛程度的寶貴線索。事實上，醫護人員正在將這種評估納入他們的診斷和治療方案中。   2019年，University of Montreal 開發了一種喵喵疼痛表情參照表（Feline Grimace Scale）。他們密切地觀察了一群疼痛的喵喵，通過評估喵喵耳朵的位置、眼睛閉合程度、口鼻張力、鬍鬚方向/變化以及頭部位置等因素，以計算出疼痛總分。這種工具與其他疼痛指標一起，可以快速、輕鬆地評估喵喵可能正在經歷的疼痛程度。</image:caption>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/f00300e8-1695-4cb9-beb0-43849a2ba554/Ear+Position.jpg</image:loc>
      <image:title>Nursing Skills - 喵喵疼痛表情參照Feline Grimace Scale&amp;nbsp; (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/0068fc2f-bac7-41cb-a3ca-d0a88b4840d5/Orbital+tightening.jpg</image:loc>
      <image:title>Nursing Skills - 喵喵疼痛表情參照Feline Grimace Scale&amp;nbsp; (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/628a68b4-7834-4d2c-b14c-d52cb7cc2096/Muzzle+Tension.jpg</image:loc>
      <image:title>Nursing Skills - 喵喵疼痛表情參照Feline Grimace Scale&amp;nbsp; (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/7afb202f-1c84-4567-9430-06cfa0876340/Whiskers+Change.jpg</image:loc>
      <image:title>Nursing Skills - 喵喵疼痛表情參照Feline Grimace Scale&amp;nbsp; (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6238063faf18b273d4ac85a2/2e0e7b09-4ad7-4e90-939a-e70ff16aba27/Head+Position.png</image:loc>
      <image:title>Nursing Skills - 喵喵疼痛表情參照Feline Grimace Scale&amp;nbsp; (難度: ★★) - Make it stand out</image:title>
      <image:caption>如果你懷疑你照顧的喵喵可能正在處於疼痛，你可以使用 Feline Grimace Scale來評估喵喵的面部表情。如果總分超過10分中的4分，那麼便可能需要進行/加強疼痛管理，你應該立即向獸醫匯報。此外，你需要考慮是否看到其他身體或行為上的疼痛跡象。</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.nerdyvetnurse.com/nursing-skills/-robert-jones-placing-a-robert-jones-bandage-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-09-20</lastmod>
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      <image:title>Nursing Skills - 放置 Robert Jones 繃帶Placing a Robert Jones Bandage (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Nursing Skills - 放置 Robert Jones 繃帶Placing a Robert Jones Bandage (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Nursing Skills - 放置 Robert Jones 繃帶Placing a Robert Jones Bandage (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Nursing Skills - 放置 Robert Jones 繃帶Placing a Robert Jones Bandage (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Nursing Skills - 放置 Robert Jones 繃帶Placing a Robert Jones Bandage (難度: ★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  </url>
  <url>
    <loc>https://www.nerdyvetnurse.com/nursing-skills/keep-your-patient-warm-during-anaesthesia-</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-09-20</lastmod>
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      <image:title>Nursing Skills - 麻醉期間為患者保暖Keep Your Patient Warm During Anaesthesia (難度: ★★★) - Make it stand out</image:title>
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      <image:title>Nursing Skills - 麻醉期間為患者保暖Keep Your Patient Warm During Anaesthesia (難度: ★★★) - Make it stand out</image:title>
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      <image:title>Nursing Skills - 麻醉期間為患者保暖Keep Your Patient Warm During Anaesthesia (難度: ★★★) - Make it stand out</image:title>
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      <image:title>Nursing Skills - 麻醉期間為患者保暖Keep Your Patient Warm During Anaesthesia (難度: ★★★) - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Dentistry - 牙科疾病預防（續） Dental Prophylaxis Continued (難度: ★★) - Make it stand out</image:title>
      <image:caption>7. 抗菌治療 Chlorhexidine （氯己定）可以作為在洗牙前減少口腔細菌的預潔洗劑，減少在洗牙過程中產生的細菌氣溶膠；它也可以以後作為漱口水維持口腔衛生。Chlorhexidine的味道有些不好，如果連續使用兩週以上，有機會會把牙齒、牙石和牙菌膜染色。   如果洗牙會涉及牙齦手術或手術拔牙等治療程序，獸醫有機會會建議使用系統性抗生素。另外，即使未必進行洗牙程序，系統性抗生素也可用於短期改善牙周病。   8. 家居護理 家居護理是牙科預防保健必不可缺的一部分。如果在洗牙後沒有持續進行家居護理，牙菌膜和牙石很快就會重新積聚。這也是獸醫護士就病人未來的牙齒健康所能做出最大貢獻的領域。家居護理需要根據動物的需求和主人的配合進行調整，目的是清除牙菌膜。為了使家居護理變得有效，主人必須投入時間、嘗試和配合。不願意配合的主人或無法接受刷牙的寵物，意味著這些寵物有機會需要定期在全身麻醉下進行洗牙。 而我們下一篇文章將會詳細介紹一下主人可以在家中進行的不同牙齒護理。</image:caption>
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      <image:caption>在清除所有牙菌斑和牙石後，必須再次使用牙周探針測量每顆牙齒周圍的牙齦溝深度，以確定檢查的準確性，並根據需要重新進行清洗，甚至考慮拔牙的需要。</image:caption>
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