一位氣喘病人被開立了 albuterol（雅博司）和 beclomethasone（倍氯米松）吸入劑。護理師應給予病人哪項用藥指導？
A client is prescribed albuterol and beclomethasone inhalers for asthma management. Which instruction should the nurse provide to the client regarding the use of these medications?
- AUse the beclomethasone inhaler first, then wait 5 minutes before using albuterol先使用倍氯米松（beclomethasone）吸入器，然後在使用雅博司（albuterol）之前等待5分鐘
- BOnly use beclomethasone when experiencing acute shortness of breath僅在經歷急性呼吸困難時使用倍氯米松（beclomethasone）
- CUse the albuterol inhaler first, then wait 5 minutes before using beclomethasone✓ 正解先使用雅博司（albuterol）吸入器，然後在使用倍氯米松（beclomethasone）之前等待5分鐘
- DCombine both medications and use them simultaneously將兩種藥物混合並同時使用
氣喘吸入劑的合併使用遵循『支氣管擴張劑（Bronchodilator）先於類固醇（Corticosteroid）』的原則。Albuterol 是短效支氣管擴張劑（SABA），能快速鬆弛支氣管平滑肌，使呼吸道暢通。先使用 albuterol 可以『打開』氣道，讓隨後使用的 beclomethasone（吸入型類固醇）能更深、更廣地到達肺部組織發揮抗發炎作用。通常建議兩者之間間隔 5 分鐘。選項 A 順序相反，會降低類固醇的效能；選項 B 錯誤，類固醇是長期控制劑，需每日定時使用，不可僅在發作時使用。此題的核心是藥理順序與臨床應用的協同作用。
Combined use of inhalers for asthma follows the principle of bronchodilator before corticosteroid. Albuterol is a short-acting beta-agonist (SABA) that quickly relaxes bronchial smooth muscle and opens the airways. Using albuterol first allows the subsequently inhaled beclomethasone (an inhaled corticosteroid) to reach deeper and more widespread lung tissue, where it exerts its anti-inflammatory effect. A 5-minute interval between the two is typically recommended. Option A has the order reversed, which reduces the efficacy of the corticosteroid; option B is incorrect because the corticosteroid is a long-term controller and must be used daily on a fixed schedule, not only during acute episodes. The core concept of this item is the synergistic clinical application of these medications based on their pharmacological order.
美國 NCLEX 非常強調『Albuterol is rescue, Beclomethasone is controller』的概念及兩者先後。台灣臨床上現在有許多合併型吸入劑（如 Symbicort），但考試仍以傳統單方分開使用的原則為準。