— 藥理與非經腸給藥 · MEDIUM · SATA —
下列何種評估結果顯示病人正經歷呋塞米（furosemide）的副作用？（選所有適合的）
Which assessment findings indicate that a client is experiencing an adverse effect of furosemide? (Select all that apply.)
- APotassium level of 2.8 mEq/L✓ 正解鉀離子濃度為 2.8 mEq/L
- BBlood glucose level of 180 mg/dL血糖濃度為 180 mg/dL
- CBilateral hearing loss✓ 正解雙側聽力損失
- DBlood urea nitrogen (BUN) of 10 mg/dL血尿素氮（BUN）為 10 mg/dL
- EMuscle weakness in lower extremities✓ 正解下肢肌肉無力
— Explanation · 中文詳解 —
呋塞米作為環利尿劑，常見副作用包括低血鉀（導致肌肉無力）、耳毒性（耳鳴或聽力損失）以及高血糖。B選項雖然可能發生，但通常非主要監測重點。D選項 BUN 正常。A、C、E 均為該藥物需要密切觀察的臨床不適或異常數據。
As a loop diuretic, furosemide commonly causes hypokalemia (leading to muscle weakness), ototoxicity (tinnitus or hearing loss), and hyperglycemia. Option B can occur but is not the main monitoring focus. Option D's BUN is normal. A, C, E are clinical findings requiring close observation.
✦ 台美臨床差異
台灣針對呋塞米給藥，護理師更傾向於配合醫囑每日追蹤電解質，美國則常根據 protocol 彈性決定監測頻率。