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藥理與非經腸給藥 · MEDIUM · SATA

哪些是毛地黃(Digoxin)中毒的經典症狀?(選所有適合的)

Which of the following are the classic symptoms of digoxin toxicity? (Select all that apply.)

  • ABradycardia✓ 正解
    心動過緩
  • BAnorexia✓ 正解
    食慾不振
  • CBlurred vision with green-yellow halos✓ 正解
    視力模糊伴隨黃綠色光暈
  • DPolydipsia
    多飲
  • EConfusion
    意識混亂
Explanation · 中文詳解

毛地黃(Digoxin)具有窄治療指數(Narrow therapeutic index),極易產生中毒。中毒徵兆分為心臟、腸胃與神經視覺系統。心臟方面常見心跳過慢(Bradycardia)或各種心律不整。腸胃道早期症狀包括厭食(Anorexia)、噁心、嘔吐。視覺異常則是經典指標,病人常主訴看到黃綠色光暈(Green-yellow halos)或視力模糊。護理師給藥前必須測量心尖脈(Apical pulse)滿一分鐘,若心跳低於每分鐘 60 下則須停藥並通知醫師。

Digoxin has a narrow therapeutic index and is highly prone to toxicity. Signs of toxicity occur in cardiac, gastrointestinal, and neurologic/visual systems. Cardiac manifestations commonly include bradycardia or various arrhythmias. Early gastrointestinal symptoms include anorexia, nausea, and vomiting. Visual disturbance is a classic indicator, with clients often reporting yellow-green halos or blurred vision. Before administering digoxin, the nurse must measure the apical pulse for a full minute; if the heart rate is below 60 beats per minute, the dose must be held and the provider notified.

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