— 藥理與非經腸給藥 · MEDIUM · MCQ —
病人被給予靜脈注射 Gentamicin。哪項副作用需要立即介入?
A client is administered IV Gentamicin. Which side effect requires immediate intervention?
- AMild headache輕微頭痛
- BTinnitus✓ 正解耳鳴
- CLocal site redness注射部位紅腫
- DNausea噁心
— Explanation · 中文詳解 —
Gentamicin 屬於氨基糖苷類(Aminoglycosides)抗生素,具有明確的耳毒性(Ototoxicity)與腎毒性(Nephrotoxicity)。耳毒性通常是累積性且可能為永久性的。耳鳴(Tinnitus)是聽神經受損的早期臨床警訊,一旦出現,護理師必須立即停藥並通知醫師,以防止聽力損失進一步惡化為不可逆的耳聾。臨床思路中,藥物副作用造成的器官功能損傷屬於優先處理事項(Safety)。
Gentamicin is an aminoglycoside antibiotic with well-documented ototoxicity and nephrotoxicity. Ototoxicity is typically cumulative and may be permanent. Tinnitus is an early clinical warning sign of auditory nerve injury; once it appears, the nurse must immediately stop the medication and notify the physician to prevent progression to irreversible hearing loss. Clinically, organ damage caused by medication adverse effects is a safety priority.