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藥理與非經腸給藥 · EASY · MCQ

護理師即將給予病人服用華法林(Warfarin)。給藥前應確認哪項檢驗結果?

A nurse is administering a dose of warfarin to a client. Which laboratory result should the nurse verify before administration?

  • APlatelet count
    血小板計數
  • BaPTT
    活化部分凝血活酶時間 (aPTT)
  • CPT/INR✓ 正解
    凝血酶原時間/國際標準比值 (PT/INR)
  • DHemoglobin
    血紅素
Explanation · 中文詳解

華法林(Warfarin)是一種口服抗凝血劑,透過抑制維生素 K 依賴性凝血因子(II, VII, IX, X)發揮作用。為了監測其抗凝血效果並防止出血併發症,臨床上以凝血酶原時間(PT)及其國際標準化比值(INR)作為監測指標。給藥前必須確認 INR 值是否在預期的治療範圍內,若數值過高,則有出血風險,需暫停給藥。

Warfarin is an oral anticoagulant that works by inhibiting the synthesis of vitamin K-dependent clotting factors (II, VII, IX, X). To monitor its anticoagulant effect and prevent bleeding complications, the prothrombin time (PT) and its international normalized ratio (INR) are used clinically as monitoring indicators. Before administration, the INR value must be verified to be within the expected therapeutic range; if it is too high, there is a risk of bleeding and the dose should be withheld.

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