— 生理適應 · MEDIUM · MCQ —
一位心衰竭病史的病人被處方 beta-blocker,護理師應監測下列何種副作用?
A patient with a history of heart failure is prescribed a beta-blocker. Which side effect should the nurse monitor for?
- AIncreased urine output尿液排出量增加
- BWeight loss體重減輕
- CHypertension高血壓
- DBradycardia✓ 正解心動過緩
— Explanation · 中文詳解 —
Beta-blocker(如 Metoprolol)透過阻斷交感神經受體,達到降低心率、心肌收縮力與血壓的效果。對於心衰竭病人,這是標準治療藥物。然而,因其直接降低心率的作用,最常見的副作用就是心搏過慢。護理師在給藥前必須確實測量心跳,若心率低於特定標準(通常為 60 bpm),則需暫停給藥並諮詢醫師。
Beta-blockers such as metoprolol block sympathetic receptors, lowering heart rate, myocardial contractility, and blood pressure. They are a standard treatment for heart failure. Because they directly slow the heart rate, bradycardia is the most common adverse effect. The nurse must check the heart rate before administration; if it is below the threshold (typically 60 bpm), the dose should be held and the provider consulted.