— 藥理與非經腸給藥 · HARD · SATA —
護理師教導病人使用碳酸鋰（Lithium）治療，下列哪幾項陳述顯示病人需要進一步衛教？（選所有適合的）
A nurse is teaching a client about lithium carbonate therapy. Which statements by the client indicate a need for further instruction? (Select all that apply.)
- AI will make sure to drink at least 2 liters of water daily我會確保每天至少喝兩公升的水
- BI can take ibuprofen for my headaches✓ 正解我可以服用布洛芬來緩解頭痛
- CI should limit my sodium intake to help the medication work✓ 正解我應該限制鈉的攝取量以幫助藥物發揮作用
- DI must get my blood levels checked regularly我必須定期接受血液濃度檢測
- EI should avoid caffeine while on this medication服用此藥物期間我應該避免攝取咖啡因
— Explanation · 中文詳解 —
鋰鹽治療期間，若鈉攝取過低或脫水會導致鋰中毒。非類固醇消炎藥（NSAIDs）如布洛芬會降低鋰鹽腎臟排泄，引起毒性反應。病人認為「減少鈉」與「服用布洛芬」是安全的，這些觀念錯誤，皆可能導致危險的血中濃度上升。
During lithium therapy, low sodium intake or dehydration can lead to lithium toxicity. NSAIDs such as ibuprofen reduce renal excretion of lithium and provoke toxicity. The client's belief that 'reducing sodium' and 'taking ibuprofen' are safe is incorrect; both may cause dangerous elevations in blood lithium levels.
✦ 台美臨床差異
美國醫護對於鋰鹽與 NSAIDs 的交互作用衛教非常重視，台灣常見病人自行於藥局購買止痛藥導致中毒。