護理師正在照顧一位有跌倒病史的病人。該病人被處方使用呋塞米(furosemide)。下列哪些是重要的安全考量?(選所有適合的)
A nurse is caring for a client with a history of falls. The client is prescribed furosemide. Which of the following are important safety considerations? (Select all that apply.)
- AMonitor blood pressure before and after administration✓ 正解給藥前後監測血壓
- BInstruct the client to rise slowly from a sitting or lying position✓ 正解指導個案從坐姿或臥姿緩慢站起
- CEncourage intake of potassium-rich foods鼓勵攝取富含鉀的食物
- DEnsure the client has a bedside commode available✓ 正解確保個案身邊備有床邊馬桶
- EAdminister the medication at bedtime於就寢時給藥
呋塞米為利尿劑,可能導致低血壓、姿態性低血壓,故需監測血壓並指導病人緩慢起身。其利尿作用常導致頻尿,故需準備床邊便桶。補充鉀離子(C)是考量,但非立即安全考量。睡前給藥(E)可能影響睡眠,非首要安全考量。
Furosemide is a diuretic that may cause hypotension and orthostatic hypotension; therefore, blood pressure must be monitored and the patient should be instructed to rise slowly. Its diuretic effect frequently causes urinary frequency, so a bedside commode should be made available. Potassium supplementation (C) is a consideration but not an immediate safety concern. Bedtime administration (E) may interfere with sleep and is not the primary safety priority.
美國的藥師會特別提醒病人關於利尿劑引起姿態性低血壓和頻尿的風險;台灣的護理師也會衛教,但對夜尿影響睡眠的考量可能較少。