— 藥理與非經腸給藥 · EASY · MCQ —
病人服用華法林(Warfarin)。護理師在初期評估時,應優先監測哪項實驗室數值?
A client is prescribed Warfarin. Which lab value should the nurse prioritize during the initial assessment?
- AHemoglobin血紅素
- BPT/INR✓ 正解凝血酶原時間/國際標準化比值
- CaPTT活化部分凝血活酶時間
- DPlatelet count血小板計數
— Explanation · 中文詳解 —
華法林作用於維生素 K 依賴性凝血因子,臨床監測重點為凝血酶原時間(PT)及其標準化比值(INR)。治療範圍通常設定在 2.0-3.0 之間,以平衡抗凝血效果與出血風險。其他選項對於華法林藥效評估不具專一性。
Warfarin acts on vitamin K-dependent clotting factors, and the key clinical monitoring parameters are prothrombin time (PT) and the international normalized ratio (INR). The therapeutic range is generally set at 2.0 to 3.0 to balance anticoagulant effect against bleeding risk. The other options are not specific for evaluating the efficacy of warfarin.
✦ 台美臨床差異
台美兩地對 INR 的監測標準一致,惟美國多有門診抗凝血管理藥師協助調劑,台灣多由醫師決定。