— 藥理與非經腸給藥 · MEDIUM · MCQ —
一位氣喘病人被開立 Albuterol 與 Beclomethasone 吸入劑。正確的給藥順序為何？
A patient with asthma is prescribed Albuterol and Beclomethasone inhalers. What is the correct order of administration?
- AUse only Albuterol if the patient is symptom-free若病人無症狀，僅使用 Albuterol
- BUse both simultaneously to maximize effect同時使用兩者以最大化療效
- CUse Albuterol first, then Beclomethasone after 5 minutes✓ 正解先使用 Albuterol，5 分鐘後再使用 Beclomethasone
- DUse Beclomethasone first, then Albuterol先使用 Beclomethasone，再使用 Albuterol
— Explanation · 中文詳解 —
Albuterol 是短效支氣管擴張劑，能迅速打開氣道；Beclomethasone 是類固醇，需深入肺部發揮抗發炎作用。先給支氣管擴張劑可幫助氣道打開，讓後續使用的類固醇藥物能更有效地進入下呼吸道，增加吸收率。
Albuterol is a short-acting bronchodilator that rapidly opens the airways; beclomethasone is a corticosteroid that must reach deep into the lungs to exert its anti-inflammatory effect. Administering the bronchodilator first opens the airways so that the subsequent corticosteroid can reach the lower respiratory tract more effectively, increasing absorption.
✦ 台美臨床差異
台灣吸入劑衛教常由藥師與護理師共同執行，美國護理師則承擔較多衛教責任。