— 生理適應 · MEDIUM · SATA —
一位心臟衰竭病人被處方 Digoxin。護理師應監測哪些 Digoxin 中毒的徵象?(選所有適合的)
A client with heart failure is prescribed digoxin. The nurse should monitor for which signs of digoxin toxicity? (Select all that apply.)
- ANausea and vomiting✓ 正解噁心與嘔吐
- BBradycardia✓ 正解心動過緩
- CVisual disturbances (e.g., yellow halos)✓ 正解視覺障礙(例如:黃色光暈)
- DPolyuria多尿
- ETachycardia心動過速
— Explanation · 中文詳解 —
Digoxin 中毒的常見徵象包括噁心嘔吐(A)、心跳過慢(B)、視覺模糊或看到黃綠色光暈(C)。多尿(D)和心跳過速(E)非 Digoxin 中毒表現。低血鉀(F)會增加 Digoxin 中毒風險,但本身非中毒的直接徵象。
Signs of digoxin toxicity include gastrointestinal disturbances such as nausea and vomiting, cardiac effects like bradycardia, and visual changes such as seeing yellow halos. These symptoms indicate elevated drug levels and require immediate nursing assessment and intervention.
✦ 台美臨床差異
美國病人教育常強調 Digoxin 的劑量管理與定期抽血監測;台灣亦然,但病人自行監測脈搏的習慣可能因文化而異。