— 藥理與非經腸給藥 · MEDIUM · MCQ —
護理師給予病人靜脈注射嗎啡。下列哪項是最重要的護理措施？
A nurse is administering IV morphine to a client. Which of the following is the most important nursing intervention?
- AAssess blood pressure before administration給藥前評估血壓
- BMonitor for nausea監測噁心情形
- CAsk the patient about pain level詢問病人疼痛程度
- DEnsure naloxone is readily available✓ 正解確保納洛酮隨時可用
— Explanation · 中文詳解 —
嗎啡是強效止痛藥，最危險的併發症為呼吸抑制。雖然評估疼痛（C）很重要，但「病人安全」為首位。準備好解毒劑 Naloxone 是處理致命性呼吸抑制的急救核心，在給予強效鴉片類藥物時，必須確保搶救資源到位。
Morphine is a potent opioid analgesic whose most dangerous complication is respiratory depression. Although assessing pain (C) is important, patient safety takes precedence. Having the antidote naloxone readily available is the core emergency preparedness step when administering potent opioids.
✦ 台美臨床差異
美國醫院針對嗎啡給藥皆強制建立 Naloxone 備用檢查清單；台灣亦同，但重視程度依醫院規模與單位性質略有不同。