— 藥理與非經腸給藥 · EASY · SATA —
病人獲醫囑給予 Furosemide 40 mg IV push。給藥前護理師需評估下列哪些項目？（選所有適合的）
A client is prescribed furosemide 40 mg IV push. Which of the following should the nurse evaluate before administration? (Select all that apply.)
- APotassium level✓ 正解鉀離子濃度
- BBlood pressure✓ 正解血壓
- CUrine output✓ 正解尿液排出量
- DBlood glucose血糖
- ESerum creatinine✓ 正解血清肌酸酐
— Explanation · 中文詳解 —
Furosemide 為強效環利尿劑。給藥前需檢查血鉀（防止低血鉀導致心律不整）、血壓（防止低血壓）、排尿量（評估腎功能與利尿反應）、以及肌酸酐（評估腎排除能力）。血糖雖受利尿劑影響，但非給藥前必須立即排除的指標。
Furosemide is a potent loop diuretic. Before administration, the nurse must check the serum potassium level (to prevent hypokalemia-induced dysrhythmias), blood pressure (to prevent hypotension), urine output (to evaluate renal function and diuretic response), and serum creatinine (to assess renal clearance). Although diuretics can affect blood glucose, it is not an indicator that must be ruled out immediately before administration.
✦ 台美臨床差異
台美臨床對於 Furosemide 給藥前監測重點高度重疊，均極度重視血鉀濃度與心律變化。