一位開立 Furosemide 的病人。給藥前護理師應評估哪些臨床發現?(選所有適合的)
A nurse is caring for a client with a prescription for Furosemide. Which findings should the nurse assess before administering the medication? (Select all that apply.)
- APotassium level✓ 正解鉀離子濃度
- BBlood pressure✓ 正解血壓
- CSerum creatinine血清肌酸酐
- DBlood glucose level血糖值
- EDaily weight✓ 正解每日體重
Furosemide 為環利尿劑,給藥前必須評估:(1) 鉀離子(易流失);(2) 血壓(利尿會降低血容積,引發低血壓);(3) 每日體重(評估利尿效果與液體平衡)。血清肌酸酐雖需定期監測,但非給予單次劑量前立即決策的首要評估指標。血糖雖然可能受影響,但非給藥前必須確認之數據。
Furosemide is a loop diuretic. Before administration, the nurse must assess: (1) potassium level (easily depleted); (2) blood pressure (diuresis reduces blood volume, potentially causing hypotension); and (3) daily weight (to evaluate diuretic effectiveness and fluid balance). Although serum creatinine should be monitored periodically, it is not the primary pre-dose assessment for a single dose. Blood glucose may be affected but is not a required pre-dose check.
台美護理師皆需在給藥前評估體液狀態與電解質,專業自主權皆包含在給藥準則中。