— 藥理與非經腸給藥 · MEDIUM · MCQ —
照護一位服用 Carbamazepine（癲癇藥）的病人。首要監測指標為何？
A nurse is caring for a client with a history of seizures receiving carbamazepine. What assessment is priority?
- ASerum creatinine血清肌酸酐
- BBlood pressure血壓
- CSerum potassium血清鉀
- DCBC (Complete Blood Count)✓ 正解全血細胞計數 (CBC)
— Explanation · 中文詳解 —
Carbamazepine 具有嚴重的血液毒性，可能導致再生不良性貧血或白血球低下（Agranulocytosis）。因此，定期監測全血球計數（CBC）是該藥物治療過程中的絕對重點，以便及早發現骨髓抑制的跡象。
Carbamazepine has significant hematologic toxicity and can cause aplastic anemia or agranulocytosis. Therefore, regular monitoring of the complete blood count (CBC) is an absolute priority during therapy with this medication so that signs of bone marrow suppression can be detected early.
✦ 台美臨床差異
兩地臨床對此藥監測標準一致，美國藥師常會檢查藥物交互作用（因其誘導代謝能力強）。