— 藥理與非經腸給藥 · HARD · MCQ —
護理師給予 Succinylcholine(肌肉鬆弛劑)。應監測什麼?
A nurse is administering a dose of succinylcholine. What should the nurse monitor for?
- AMalignant hyperthermia✓ 正解惡性高熱
- BHyperglycemia高血糖
- CTachycardia心跳過速
- DHypokalemia低血鉀
— Explanation · 中文詳解 —
Succinylcholine 是一種去極化型肌肉鬆弛劑,已知可能觸發「惡性高熱」(Malignant Hyperthermia),這是一種危及生命的遺傳性反應。臨床表徵包括高熱、肌肉僵硬及心律異常。護理師必須密切監測病人的體溫與生命徵象。
Succinylcholine is a depolarizing neuromuscular blocking agent known to potentially trigger 'malignant hyperthermia,' a life-threatening hereditary reaction. Clinical manifestations include hyperthermia, muscle rigidity, and cardiac arrhythmias. The nurse must closely monitor the client's temperature and vital signs.
✦ 台美臨床差異
此藥多由麻醉師給予,但手術室與 ICU 護理師需知曉此風險及備妥 Dantrolene 解毒劑。