護理師正在檢視一位新開立吸入性沙丁胺醇（albuterol）處方的病人出院指導。哪項指示最重要？
A nurse is reviewing discharge instructions for a client with a new prescription for an albuterol inhaler. Which instruction is most important?
- AShake the inhaler well before each use.✓ 正解每次使用前請充分搖勻吸入器。
- BRinse your mouth after each use.每次使用後請漱口。
- CStore the inhaler in a cool, dry place.將吸入器存放在陰涼乾燥處。
- DUse the inhaler every 4 hours as needed for shortness of breath.如有呼吸困難，每 4 小時按需使用吸入器。
吸入性沙丁胺醇（Albuterol）屬於定量吸入器（MDI），藥物以懸浮液形式存在於推進劑中。若未經充分搖勻，藥物顆粒會沈澱在罐底，導致病人吸入的僅是推進劑而非有效藥物，影響支氣管擴張效果。護理指導應強調正確操作程序，以確保藥物療效與安全性。臨床上，護理師需確認病人能正確重複此動作，並建立正確的給藥習慣。
Inhaled albuterol comes in a metered-dose inhaler (MDI), where the drug is suspended in propellant. Without thorough shaking, drug particles settle, and the client inhales mostly propellant rather than the active drug, reducing bronchodilation. Teaching must emphasize the correct administration procedure to ensure efficacy and safety; the nurse should confirm the client can correctly repeat the technique.
台美臨床對於吸入器衛教一致。但在美國，護理師會強調使用輔助器（Spacer）以增加藥物遞送至肺部的效率，特別是針對協調性較差的病人。