— 藥理與非經腸給藥 · HARD · MCQ —
一位高血壓病人獲處方使用 Lisinopril。哪項評估結果需要護理師立即介入？
A client with a history of hypertension is prescribed lisinopril. Which assessment finding requires immediate nursing intervention?
- ASwelling of the lips, tongue, and throat✓ 正解嘴唇、舌頭和喉嚨腫脹
- BMild headache after the first dose服用第一劑後出現輕微頭痛
- CBlood pressure reading of 110/70 mmHg血壓讀數為 110/70 mmHg
- DReport of a persistent dry cough主訴持續性乾咳
— Explanation · 中文詳解 —
ACE 抑制劑最致命的副作用是血管神經性水腫（Angioedema）。這可能導致呼吸道阻塞，是威脅生命的緊急情況，須立即停止藥物並準備急救設備。乾咳是常見副作用但非緊急；頭痛和血壓下降則為預期內的反應。
The most life-threatening adverse effect of ACE inhibitors is angioedema. It can cause airway obstruction and is a life-threatening emergency, requiring immediate discontinuation of the medication and preparation of emergency equipment. Dry cough is a common side effect but not an emergency, and headache and lowered blood pressure are expected responses.
✦ 台美臨床差異
台灣醫師較常轉換為 ARB 類藥物以解決咳嗽問題，美國亦同。