— 藥理與非經腸給藥 · EASY · MCQ —
病人獲開立 Lisinopril。病人的哪一句話顯示其理解潛在副作用？
A client is prescribed Lisinopril. Which statement by the client indicates an understanding of the potential side effects?
- A"I might experience increased facial hair growth."「我可能會出現面部毛髮增多。」
- B"I should contact my doctor if I develop a dry, hacking cough."✓ 正解「如果我出現乾咳，我應該聯繫醫生。」
- C"I will stop taking this medication if I feel dizzy."「如果我感到頭暈，我會停止服用此藥物。」
- D"I need to eat more bananas to increase my potassium intake."「我需要多吃香蕉以增加鉀的攝取。」
— Explanation · 中文詳解 —
Lisinopril 是 ACEI 類藥物，常見副作用為持久的乾咳，這是由於緩激肽（bradykinin）堆積所致。病人若出現此症狀需回報，醫師可能會考慮更換藥物。此藥會導致鉀離子滯留，故不應刻意補充鉀離子。
Lisinopril is an ACE inhibitor, and a common side effect is a persistent dry cough caused by the accumulation of bradykinin. If the patient experiences this symptom, they should report it, and the physician may consider switching the medication. This drug also causes potassium retention, so patients should not intentionally take potassium supplements.
✦ 台美臨床差異
兩地醫護對於 ACEI 導致乾咳的衛教標準一致，皆強調不要自行停藥但需與醫師討論。