— 藥理與非經腸給藥 · MEDIUM · SATA —
護理師評估服用 Furosemide 的病人，下列何者顯示為可能的副作用？（選所有適合的）
A nurse is assessing a client taking Furosemide. Which findings indicate a potential side effect of this medication? (Select all that apply.)
- ASerum potassium 3.0 mEq/L✓ 正解血清鉀 3.0 mEq/L
- BReports of muscle cramps✓ 正解主訴肌肉痙攣
- CSerum glucose 80 mg/dL血清葡萄糖 80 mg/dL
- DReports of tinnitus✓ 正解主訴耳鳴
- ESerum sodium 130 mEq/L✓ 正解血清鈉 130 mEq/L
— Explanation · 中文詳解 —
Furosemide 為環狀利尿劑，常見副作用包括低鉀血症、低鈉血症及耳毒性。低鉀會導致肌肉痙攣；低鈉則引起虛弱或電解質不平衡。此外，輸注速度過快或劑量過高可能誘發耳鳴（耳毒性）。血糖 80 mg/dL 在正常範圍內，非此藥之典型副作用。
Furosemide is a loop diuretic; common adverse effects include hypokalemia, hyponatremia, and ototoxicity. Hypokalemia causes muscle cramps; hyponatremia produces weakness or electrolyte imbalance. In addition, an infusion that is too rapid or a dose that is too high may produce tinnitus (ototoxicity). A blood glucose of 80 mg/dL is within the normal range and is not a typical adverse effect of this drug.
✦ 台美臨床差異
台灣臨床上對於 Furosemide 造成的電解質異常補給較積極，且護理衛教多包含補鉀飲食說明。