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藥理與非經腸給藥 · MEDIUM · MCQ

一位病人因嚴重感染接受萬古黴素治療。護理師應透過評估什麼來監測病人的反應?

A client is receiving vancomycin for a serious infection. The nurse should monitor the client's response by assessing:

  • AWhite blood cell count (WBC)
    白血球計數
  • BBlood pressure
    血壓
  • CSigns and symptoms of infection✓ 正解
    感染的徵兆與症狀
  • DLiver function tests (LFTs)
    肝功能測試
Explanation · 中文詳解

萬古黴素 (Vancomycin) 是一種強力抗生素,主要用於治療嚴重革蘭氏陽性菌感染。評估藥物療效時,最直接且臨床上最重要的指標是感染症狀的緩解。護理師需監測病人的體溫是否下降、白血球計數 (WBC) 是否趨於正常、傷口分泌物減少以及疼痛改善。雖然實驗室數據(如 WBC)是重要依據,但臨床症狀的改善是評估抗生素治療反應的核心指標。

Vancomycin is a potent antibiotic used primarily for serious gram-positive infections. The most direct and clinically important indicator of efficacy is resolution of infection signs and symptoms. The nurse should monitor for fever reduction, normalization of WBC, decreased wound drainage, and improved pain. Although laboratory data such as WBC matter, clinical improvement is the core indicator of antibiotic response.

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