下列何種評估結果顯示病人出現毛地黃中毒?(選所有適合的)
Which assessment findings indicate that a client is experiencing digoxin toxicity? (Select all that apply.)
- AVisual disturbances, such as yellow-green halos✓ 正解視覺障礙,例如黃綠色光暈
- BBradycardia with a heart rate of 50 bpm✓ 正解心跳過緩,心率為每分鐘 50 次
- CIncreased appetite and weight gain食慾增加和體重增加
- DNausea, vomiting, and anorexia✓ 正解噁心、嘔吐和食慾不振
- EConfusion and lethargy✓ 正解意識混亂和嗜睡
毛地黃中毒(Digoxin Toxicity)的臨床表現多樣,涉及視覺、胃腸道、心血管及神經系統。病人常訴說視覺出現綠黃色光暈(Yellow-green halos),這是經典的中毒徵兆。胃腸道症狀包含噁心、嘔吐與厭食。心律不整與心搏過緩(<60 bpm)是中毒常見表現。中樞神經影響則為意識混亂與嗜睡。體重增加通常是心衰竭惡化,與中毒無直接因果關係。
The clinical manifestations of digoxin toxicity are varied and involve visual, gastrointestinal, cardiovascular, and neurologic systems. Clients often report yellow-green halos in their vision, a classic sign of toxicity. Gastrointestinal symptoms include nausea, vomiting, and anorexia. Arrhythmias and bradycardia (<60 bpm) are common cardiovascular manifestations of toxicity. CNS effects include confusion and lethargy. Weight gain typically reflects worsening heart failure rather than a direct effect of digoxin toxicity.