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藥理與非經腸給藥 · MEDIUM · MCQ

下列哪項發現暗示病人可能有地高辛(Digoxin)中毒?

Which of the following findings would indicate potential toxicity of digoxin?

  • AExcessive thirst
    過度口渴
  • BIncreased appetite
    食慾增加
  • CYellow-green visual halos✓ 正解
    黃綠色視覺光暈
  • DHypertension
    高血壓
Explanation · 中文詳解

地高辛(Digoxin)具有窄治療指數(narrow therapeutic index),極易發生中毒。其中毒症狀包含胃腸道反應(噁心、嘔吐、厭食)、視覺障礙(如黃綠色光暈、複視)及心律不整。護理師需特別留意血清濃度(通常大於 2.0 ng/mL 為中毒)與心率變化。評估時應優先監測脈搏,若成人小於 60 次/分則需暫停給藥並報告醫師。

Digoxin has a narrow therapeutic index and toxicity occurs easily. Symptoms of toxicity include gastrointestinal disturbances (nausea, vomiting, anorexia), visual disturbances (such as yellow-green halos, diplopia), and cardiac arrhythmias. The nurse should pay particular attention to serum drug levels (toxicity is generally defined as greater than 2.0 ng/mL) and to changes in heart rate. Pulse should be assessed first; if an adult pulse is less than 60 beats per minute, the dose should be withheld and the physician notified.

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