— 藥理與非經腸給藥 · MEDIUM · MCQ —
一位糖尿病病人獲開立 Metformin。護理師應指導病人回報下列哪種副作用？
A client with diabetes mellitus is prescribed Metformin. Which side effect should the nurse instruct the client to report?
- AMuscle pain and shortness of breath✓ 正解肌肉疼痛和呼吸困難
- BHypoglycemia symptoms低血糖症狀
- CMetallic taste金屬味
- DIncreased thirst口渴增加
— Explanation · 中文詳解 —
Metformin 可能導致罕見但致命的副作用：乳酸中毒（Lactic acidosis）。症狀包含肌肉疼痛、呼吸急促、疲憊與不適感。這通常發生於腎功能受損或合併急性病症的病人身上，因此病人需特別警覺這些非特異性的危險訊號。
Metformin can cause a rare but lethal adverse effect: lactic acidosis. Symptoms include muscle pain, shortness of breath, fatigue, and malaise. This typically occurs in clients with renal impairment or acute illness, so clients must be alert to these nonspecific warning signs and report them immediately.
✦ 台美臨床差異
台灣對二甲雙胍（Metformin）的衛教強調胃腸道反應，對於乳酸中毒的教育在慢性病個管師衛教中亦列為重點。