病人因急性肺水腫被處方呋塞米（Furosemide）40mg 靜脈推注。護理師給藥時應採取何種行動？
A client is prescribed furosemide 40 mg IV push for acute pulmonary edema. Which action should the nurse perform during administration?
- AAssess the client's potassium level only after the dose is completed僅在劑量完成後評估病人的鉀離子濃度
- BMonitor blood glucose levels every hour每小時監測血糖
- CAdminister the medication over at least 1 to 2 minutes✓ 正解至少於 1 至 2 分鐘內給予藥物
- DDilute the medication with 50 mL of D5W以 50 mL 的 5% 葡萄糖液稀釋藥物
Furosemide 若推注過快可能導致耳毒性（ototoxicity），造成暫時性或永久性聽力受損。根據藥物動力學原則，IV 推注需緩慢進行，通常建議每分鐘不超過 20-40 mg。此舉可避免血藥濃度驟升引發的不良反應。B 項利尿劑與血糖關聯性低，A 項應在給藥前確認鉀離子以預防低血鉀引發的心律不整。
If furosemide is pushed too rapidly, it can cause ototoxicity with temporary or permanent hearing loss. According to pharmacokinetic principles, the IV push should be given slowly, generally not exceeding 20-40 mg per minute, to avoid adverse effects from a sudden rise in plasma drug concentration. Option B has little association between diuretics and blood glucose, and option A refers to the need to verify the potassium level prior to administration to prevent hypokalemia-induced dysrhythmias.
台美對 Furosemide 推注速度規範相似，皆極度重視預防耳毒性。