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藥理與非經腸給藥 · MEDIUM · SATA

護理師正在衛教一位剛開始服用華法林(Warfarin)的病人。病人說出哪些內容顯示其已理解治療重點?(選所有適合的)

A nurse is teaching a patient starting warfarin therapy. Which statements by the patient indicate an understanding of the treatment? (Select all that apply.)

  • AI will maintain a consistent intake of green leafy vegetables✓ 正解
    我會保持綠色葉菜類蔬菜攝取量的一致性
  • BI should use a soft-bristled toothbrush for oral care✓ 正解
    我應該使用軟毛牙刷進行口腔護理
  • CI will avoid taking aspirin or NSAIDs without consulting my doctor✓ 正解
    在未諮詢醫生之前,我會避免服用阿斯匹靈或非類固醇消炎止痛藥
  • DI need to increase my vitamin K intake to prevent bleeding
    我需要增加維生素 K 的攝取以防止出血
  • EI will report any unusual bruising or bleeding to my provider✓ 正解
    我會向我的醫療提供者報告任何異常的瘀青或出血
Explanation · 中文詳解

Warfarin 是一種維生素 K 拮抗劑(Vitamin K Antagonist),其藥效極易受飲食中維生素 K 攝取量影響。護理衛教的重點是「維持攝取穩定」,因為攝取量忽高忽低會導致國際標準化比值(INR)波動。此外,由於藥物會抑制凝血因子,病人需採取出血預防措施,並嚴禁在未經醫師同意下服用 NSAIDs 或阿斯匹靈,以免加重出血風險。

Warfarin is a vitamin K antagonist, and its effect is highly influenced by dietary vitamin K intake. The key point in nursing education is to maintain a consistent intake, because fluctuating intake leads to fluctuations in the International Normalized Ratio (INR). In addition, because the medication suppresses clotting factors, the client must take bleeding precautions, and the use of NSAIDs or aspirin is strictly prohibited without the physician's approval in order to avoid an increased risk of bleeding.

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