— 降低風險 · MEDIUM · MCQ —
一位高血壓病人。下列哪類降血壓藥物常會引起乾咳？
A nurse is caring for a client with a history of hypertension. Which medication class is often associated with a dry cough?
- ADiuretics利尿劑
- BCalcium Channel Blockers鈣離子通道阻斷劑
- CACE Inhibitors✓ 正解ACE 抑制劑
- DBeta-blockers乙型交感神經阻斷劑
— Explanation · 中文詳解 —
ACE Inhibitors（血管張力素轉化酶抑制劑）會導致 bradykinin 在肺部堆積，進而引發頑固性乾咳。這是此類藥物常見的副作用，並非過敏，若無法忍受通常會改用 ARB（血管張力素受體拮抗劑）。
ACE inhibitors cause bradykinin to accumulate in the lungs, leading to a persistent dry cough. This is a common side effect rather than an allergy; if intolerable, an ARB (angiotensin II receptor blocker) is generally substituted.
✦ 台美臨床差異
美台對於 ACEI 引起之咳嗽衛教內容高度一致，護理師均需與醫師確認是否更換藥物。