— 生理適應 · MEDIUM · MCQ —
一位有心臟衰竭病史的病人被處方 Lisinopril。護理師應指示病人立即回報何種症狀？
A client with a history of heart failure is prescribed lisinopril. The nurse should instruct the client to report which symptom immediately?
- ASwelling of the face or tongue✓ 正解臉部或舌頭腫脹
- BDizziness upon standing站立時頭暈
- CMild headache輕微頭痛
- DDry cough乾咳
— Explanation · 中文詳解 —
血管收縮素轉換酶抑制劑（ACE Inhibitors，如 Lisinopril）常見副作用包括乾咳，但最危急的副作用是「血管性水腫」（Angioedema）。這是一種嚴重的過敏反應，表現為臉部、嘴唇、舌頭或喉嚨腫脹，可能導致氣道完全阻塞而危及生命。護理師必須教育病人一旦出現此症狀，應立即停藥並尋求緊急醫療救護。
Common side effects of ACE inhibitors (such as lisinopril) include dry cough, but the most critical adverse effect is angioedema. This is a severe allergic-type reaction characterized by swelling of the face, lips, tongue, or throat, which may lead to complete airway obstruction and become life-threatening. The nurse must educate the patient that if such symptoms occur, the medication should be stopped immediately and emergency medical care sought.