— 藥理與非經腸給藥 · MEDIUM · MCQ —
病人被給予納洛酮（Naloxone）。護理師的優先觀察點是什麼？
A client is administered Naloxone. What is the nurse's priority observation?
- ALevel of consciousness意識水準
- BBlood pressure血壓
- CPupil size瞳孔大小
- DRespiratory rate and depth✓ 正解呼吸頻率與深度
— Explanation · 中文詳解 —
Naloxone 是鴉片類藥物拮抗劑，主要用於反轉嗎啡過量導致的呼吸抑制。給藥後，病人的呼吸狀態會迅速改善，護理師必須密切監測其呼吸頻率與深度，因為 Naloxone 的藥效持續時間可能短於原先的鴉片類藥物，病人可能再度出現呼吸抑制。
Naloxone is an opioid antagonist used primarily to reverse respiratory depression caused by morphine overdose. After administration, the patient's respiratory status typically improves rapidly, and the nurse must closely monitor the rate and depth of respirations because the duration of action of naloxone may be shorter than that of the original opioid, putting the patient at risk for recurrent respiratory depression.
✦ 台美臨床差異
在美國許多州，護理師甚至急救人員若懷疑鴉片類過量，可依 Protocol 自行使用 Naloxone，台灣則仍需醫囑。