— 生理適應 · EASY · MCQ —
一位有高血壓病史的病人正在服用 lisinopril。護理師在首次追蹤門診時應優先評估哪項發現？
A client with a history of hypertension is prescribed lisinopril. Which assessment finding should the nurse prioritize during the initial follow-up visit?
- AHeart rate of 72 beats per minute心率每分鐘 72 次
- BBlood pressure reading of 130/80 mmHg血壓讀數 130/80 mmHg
- CSerum potassium level of 4.2 mEq/L血清鉀濃度 4.2 mEq/L
- DDry, persistent cough✓ 正解乾性、持續性咳嗽
— Explanation · 中文詳解 —
ACEI 類藥物（如 Lisinopril）常見副作用為持續性乾咳，這是由於緩激肽（bradykinin）在肺部堆積所致。此副作用常導致病人服藥依從性下降，甚至需更換藥物（如改用 ARB），因此是護理評估的重點。
ACE inhibitors such as lisinopril commonly cause a persistent dry cough due to bradykinin accumulation in the lungs. This side effect frequently reduces medication adherence and may even require a change in therapy (e.g., switching to an ARB), making it a key focus of nursing assessment.
✦ 台美臨床差異
美國護理師在門診常負責藥物副作用篩檢；台灣則多由醫師執行，護理師衛教時需留意詢問此類主訴。