— 藥理與非經腸給藥 · EASY · MCQ —
下列何種藥物最適合用於治療急性過敏性休克病人?
Which of the following medications is most appropriate to administer for a client experiencing an acute anaphylactic reaction?
- APrednisolone潑尼松龍
- BDiphenhydramine苯海拉明
- CAlbuterol沙丁胺醇
- DEpinephrine✓ 正解腎上腺素
— Explanation · 中文詳解 —
腎上腺素(Epinephrine)是治療急性過敏性休克的第一線藥物。它能透過作用於 α 與 β 受體,達到收縮血管、提升血壓、鬆弛支氣管平滑肌及減少組織胺釋放的效果。其他藥物(如抗組織胺或類固醇)僅作為輔助治療,無法即刻緩解致命的呼吸道阻塞與休克。
Epinephrine is the first-line medication for the treatment of acute anaphylactic shock. Through its action on α and β receptors, it produces vasoconstriction, raises blood pressure, relaxes bronchial smooth muscle, and reduces histamine release. Other drugs (such as antihistamines and corticosteroids) serve only as adjuncts and cannot immediately relieve the life-threatening airway obstruction and shock.
✦ 台美臨床差異
美國護理師在急診或特定單位可依急救流程啟動給藥,台灣依醫師指示或急救醫囑執行。