— 藥理與非經腸給藥 · HARD · MCQ —
病人預計接受靜脈輸注萬古黴素（Vancomycin）。在開始前，護理師應優先檢查哪項實驗室數據？
A client is scheduled to receive vancomycin via IV infusion. Which laboratory value should the nurse prioritize checking before initiation?
- ASerum creatinine✓ 正解血清肌酸酐
- BWhite blood cell count白血球計數
- CPotassium level鉀離子濃度
- DBlood glucose level血糖濃度
— Explanation · 中文詳解 —
萬古黴素（Vancomycin）具有顯著的腎毒性（Nephrotoxicity）。在給藥前，護理師必須評估腎功能指標，特別是血清肌酸酐（Serum Creatinine）與腎絲球過濾率（GFR）。若腎功能下降，藥物會蓄積導致中毒，因此必須根據腎功能調整劑量，並密切監測藥物谷濃度（Trough Level）。
Vancomycin has significant nephrotoxicity. Before administration, the nurse must evaluate renal function indicators, particularly serum creatinine and glomerular filtration rate (GFR). If renal function is impaired, the drug will accumulate and cause toxicity, so dosing must be adjusted based on renal function, and trough drug levels must be closely monitored.