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生理適應 · EASY · MCQ

護理師照護一位急性氣喘惡化的病人,其室內空氣下 SpO2 為 90%,並使用輔助呼吸肌。護理師應預期優先給予哪種藥物?

A nurse is providing care for a client experiencing an acute asthma exacerbation. The client's SpO2 is 90% on room air, and they are using accessory muscles to breathe. Which medication should the nurse anticipate administering first?

  • AShort-acting beta-agonist (SABA)✓ 正解
    短效乙型促進劑 (SABA)
  • BInhaled corticosteroid
    吸入性皮質類固醇
  • COral prednisone
    口服普奈松 (prednisone)
  • DLong-acting beta-agonist (LABA)
    長效乙型促進劑 (LABA)
Explanation · 中文詳解

急性氣喘發作時,支氣管平滑肌收縮導致呼吸道阻塞。SABA(如 albuterol)是短效支氣管擴張劑,能快速鬆弛平滑肌,緩解支氣管痙攣,是治療急性發作的首選藥物。類固醇和 LABA 作用較慢,用於長期控制。

During an acute asthma attack, bronchial smooth muscle contraction causes airway obstruction. A short-acting beta-agonist (SABA), such as albuterol, is a short-acting bronchodilator that rapidly relaxes smooth muscle and relieves bronchospasm, making it the first-line treatment for acute exacerbations. Corticosteroids and LABAs have a slower onset and are used for long-term control.

✦ 台美臨床差異

美國氣喘病人常接受居家照護計畫,配備吸入器;台灣病人多在醫療院所接受治療,對居家自我照護的工具和技巧熟悉度不一。

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