— 藥理與非經腸給藥 · MEDIUM · MCQ —
病人正在服用毛地黃 (Digoxin)。下列哪項發現護理師應立即通知醫師？
A client is taking digoxin. Which finding should the nurse report to the physician immediately?
- AA heart rate of 72 beats per minute心率每分鐘 72 次
- BVisual disturbances, such as yellow halos✓ 正解視覺障礙，例如出現黃色光暈
- CMild nausea without vomiting輕微噁心但未嘔吐
- DIncreased appetite食慾增加
— Explanation · 中文詳解 —
毛地黃中毒的典型初期症狀包括視力模糊、色覺異常（如黃綠光暈）。心跳 72 下屬於正常範圍（僅在 <60 下需注意），輕微噁心雖是副作用但視力改變顯示已達中毒程度，具有高度致命風險，需優先處置。食慾增加非中毒表現。
Classic early signs of digoxin toxicity include blurred vision and color-vision changes (such as yellow-green halos). A heart rate of 72 beats per minute is within the normal range (only rates below 60 warrant concern); although mild nausea is a side effect, visual changes indicate that toxicity has reached a dangerous level and represent a highly lethal risk requiring priority intervention. Increased appetite is not a sign of toxicity.
✦ 台美臨床差異
美國護理師常執行 Digoxin 濃度監測衛教，台灣則視病人情況調整給藥頻率。