護理師照顧一位患有愛迪生氏病且正在服用強的松(Prednisone)的病人。病人的哪項陳述需要進一步衛教?
A nurse is caring for a client with Addison's disease who is taking Prednisone. Which statement by the client requires further teaching?
- AI can stop taking this medication once my symptoms improve✓ 正解一旦我的症狀改善,我可以停止服用這藥物。
- BI will increase my dose slightly during periods of high stress在高壓力期間,我會稍微增加劑量。
- CI should report any signs of infection to my doctor我應該向醫生報告任何感染跡象。
- DI will wear a medical alert bracelet at all times我會隨時佩戴醫療警示手環。
Addison's disease(愛迪生氏病)病人因皮質醇缺乏,需長期服用 Prednisone 作為替代治療。類固醇藥物絕對不可突然停藥,因為身體已適應外源性激素,突然停藥會導致致命的腎上腺危象(Adrenal crisis)。衛教重點包括:隨身攜帶醫學警示牌、壓力期需調整劑量、監控感染徵象。病人陳述可自行停藥是錯誤的,需立即介入。
Clients with Addison's disease have a deficiency of cortisol and require long-term Prednisone as replacement therapy. Corticosteroid medications must never be discontinued abruptly, because the body has adapted to exogenous hormones, and sudden cessation can lead to a fatal adrenal crisis. Teaching points include wearing a medical alert bracelet at all times, adjusting the dose during periods of stress, and monitoring for signs of infection. The client's statement that the medication can be stopped independently is incorrect and requires immediate intervention.