— 生理適應 · MEDIUM · MCQ —
一位慢性腎臟病 (CKD) 病人的血磷值為 5.8 mg/dL。護理師應預期給予哪種藥物？
A client with chronic kidney disease (CKD) has a phosphorus level of 5.8 mg/dL. Which medication should the nurse anticipate administering?
- AFurosemide吠塞米
- BCalcium acetate✓ 正解醋酸鈣
- CCalcitriol骨化三醇
- DEpoetin alfa依泊汀阿爾法
— Explanation · 中文詳解 —
CKD 病人常因腎功能受損導致高血磷。醋酸鈣 (Calcium acetate) 是一種磷結合劑，應隨餐服用，在腸道中與食物中的磷結合並排出，從而降低血磷。Furosemide 是利尿劑；Calcitriol 是維生素 D；Epoetin 是刺激紅血球生成。
Clients with chronic kidney disease frequently develop hyperphosphatemia due to impaired renal function. Calcium acetate is a phosphate binder that should be taken with meals; it binds dietary phosphorus in the gut so it can be excreted, thereby lowering serum phosphorus. Furosemide is a diuretic; calcitriol is active vitamin D; and epoetin stimulates red blood cell production.
✦ 台美臨床差異
兩地均使用磷結合劑，但美國更強調藥物與餐食同時服用的衛教重要性。