— 藥理與非經腸給藥 · MEDIUM · MCQ —
一位服用華法林(Warfarin)的病人,下列哪項評估結果需要立即處置?
A client is prescribed warfarin. Which assessment finding indicates a need for immediate intervention?
- AINR of 2.5INR 為 2.5
- BDietary intake of green leafy vegetables飲食攝取綠葉蔬菜
- CBruising on the forearms前臂出現瘀青
- DDark, tarry stools✓ 正解黑色柏油樣糞便
— Explanation · 中文詳解 —
Warfarin 會抑制凝血因子,導致凝血功能下降。黑便(tarry stools)代表上消化道出血,是嚴重的抗凝血劑副作用。INR 2.5 在治療範圍內;瘀青在抗凝劑治療中常見,但非最危急;攝取綠色蔬菜會影響藥效但非立即危急狀況。
Warfarin inhibits clotting factors, reducing coagulation function. Black, tarry stools indicate upper gastrointestinal bleeding, a serious adverse effect of anticoagulant therapy. An INR of 2.5 is within therapeutic range; bruising is common with anticoagulants but is not the most urgent finding; and intake of green leafy vegetables affects drug efficacy but is not an immediate emergency.
✦ 台美臨床差異
美台臨床對於抗凝血劑衛教一致,皆強調監測出血徵兆。台灣病人常擔心食物交互作用而完全不吃蔬菜,需教育其應保持穩定攝取。