— 降低風險 · MEDIUM · MCQ —
護理師照護一位有心肌梗塞病史且服用 Clopidogrel 的病人。下列哪項發現應立即報告醫師？
A nurse is caring for a client with a history of myocardial infarction who is prescribed clopidogrel. Which assessment finding should the nurse report to the provider immediately?
- AOccasional indigestion偶爾消化不良
- BMild headache輕微頭痛
- CReports of minor bruising on the arms手臂出現輕微瘀青
- DPresence of black, tarry stools✓ 正解出現黑色柏油樣糞便
— Explanation · 中文詳解 —
Clopidogrel 是抗血小板藥物，會增加出血風險。黑色瀝青樣大便（Melena）暗示上消化道出血，是極為危險的徵象，必須立即報告以處理出血性併發症。瘀青、輕微頭痛是可能副反應，但黑便代表活動性出血，需即刻處理。
Clopidogrel is an antiplatelet drug that increases the risk of bleeding. Black, tarry stools (melena) suggest upper gastrointestinal bleeding, a highly dangerous sign that must be reported immediately so that the hemorrhagic complication can be managed. Bruising and mild headache are possible side effects, but melena indicates active bleeding that requires prompt action.
✦ 台美臨床差異
兩地對於使用抗凝血或抗血小板藥物的病人，皆重視出血監測，報告警訊一致。