病人服用 Lisinopril 治療高血壓。哪些評估發現需護理師暫停用藥並通知醫師？（選所有適合的）
A client is prescribed Lisinopril for hypertension. Which assessment finding requires the nurse to hold the medication and notify the provider? (Select all that apply.)
- AA persistent dry, hacking cough持續性的乾咳
- BSerum potassium level of 5.8 mEq/L✓ 正解血清鉀濃度5.8 mEq/L
- CAngioedema around the lips and tongue✓ 正解嘴唇和舌頭周圍血管性水腫
- DBlood pressure reading of 110/70 mmHg血壓讀數110/70 mmHg
- ESerum creatinine increase from 0.8 to 1.1 mg/dL血清肌酸酐從0.8上升至1.1 mg/dL
ACEI 類藥物常見副作用為乾咳，通常無需停藥；血管性水腫（Angioedema）則為威脅生命的急症，需立即停藥。高血鉀（>5.5 mEq/L）因 ACEI 會抑制醛固酮分泌，增加致命心律不整風險，故必須優先處理。血壓偏低或微幅肌酸酐變動通常在監測範圍內。
A common side effect of ACE inhibitors is a dry cough, which usually does not require discontinuation; however, angioedema is a life-threatening emergency that requires immediate cessation of the medication. Hyperkalemia (>5.5 mEq/L) occurs because ACE inhibitors suppress aldosterone secretion, increasing the risk of fatal arrhythmias and therefore requiring priority management. A slightly low blood pressure or a minor change in creatinine is typically within monitoring range.
美國護理師常執行床邊評估決定給藥與否，台灣護理師執行此類決策需更嚴謹遵守醫囑與評估規範。