— 降低風險 · EASY · MCQ —
護理師照護一位服用 Gabapentin 的癲癇病人，哪項護理行動是適當的？
A nurse is caring for a client with a history of seizures who is prescribed gabapentin. Which nursing action is appropriate?
- ARecommend taking the medication with dairy products建議隨乳制品服用藥物
- BTell the client to stop the drug if they feel dizzy告知病人若感到頭暈應停止用藥
- CInstruct the client to double the dose if a seizure occurs指示病人若發生癲癇發作應加倍劑量
- DAdvise the client to avoid sudden withdrawal of the medication✓ 正解建議病人避免突然停用藥物
— Explanation · 中文詳解 —
抗癲癇藥物（如 Gabapentin）若驟然停藥，極易引發反彈性癲癇發作（rebound seizures）。因此必須教導病人按時服藥，若需停藥務必在醫師指導下緩慢減量，此為此類藥物最重要的安全原則。
Antiseizure medications such as gabapentin, if discontinued abruptly, can readily provoke rebound seizures. Therefore the patient must be taught to take the drug on schedule, and if it must be stopped, this should be done gradually under physician supervision. This is the most important safety principle for this class of medications.
✦ 台美臨床差異
台灣醫師常開立 Gabapentin 用於神經痛輔助，護理師衛教重點需包含此藥對神經系統的適應調整。