護理師應預期給予哪種藥物給氣喘病史的病人以預防急性發作?(選所有適合的)
Which of the following medications should the nurse expect to administer to a client with a history of asthma to prevent an acute attack? (Select all that apply.)
- ASalmeterol✓ 正解Salmeterol(沙美特羅)
- BAlbuterolAlbuterol(沙丁胺醇)
- CFluticasone✓ 正解Fluticasone(氟替卡松)
- DMontelukast✓ 正解Montelukast(孟魯司特)
- EIpratropiumIpratropium(異丙托溴銨)
氣喘的預防性藥物(Controller)包含長效型支氣管擴張劑(Salmeterol)、吸入型類固醇(Fluticasone)及白三烯素拮抗劑(Montelukast)。Albuterol 為短效支氣管擴張劑(Rescue/Reliever),專用於急性發作期的搶救,而非日常預防。Ipratropium 主要用於緩解急性期阻塞,不作為慢性預防首選。
Asthma controller medications used to prevent attacks include long-acting bronchodilators (Salmeterol), inhaled corticosteroids (Fluticasone), and leukotriene receptor antagonists (Montelukast). Albuterol is a short-acting bronchodilator (rescue/reliever) used specifically for acute exacerbations rather than daily prevention. Ipratropium is mainly used to relieve acute airway obstruction and is not a first-line agent for chronic prevention.
美國醫護人員常強調依步驟(Step-wise)治療,台灣臨床則常合併使用複方吸入劑。