下列哪些藥物在給藥前,護理師需測量心尖脈完整一分鐘?(選所有適合的)
Which of the following medications require the nurse to check the client's apical heart rate for one full minute before administration? (Select all that apply.)
- ADigoxin✓ 正解Digoxin(地高辛)
- BLisinoprilLisinopril(賴諾普利)
- CPropranolol✓ 正解Propranolol(普萘洛爾)
- DFurosemideFurosemide(呋塞米)
- EAmiodarone✓ 正解Amiodarone(胺碘酮)
Digoxin、Propranolol(Beta-blocker)與 Amiodarone(抗心律不整藥)皆具有負性心率作用(Negative chronotropic effect),易引起心搏過緩,給藥前需評估心率以策安全。Lisinopril 主要影響血壓;Furosemide 為利尿劑,給藥前重點為監測電解質與液體平衡而非心率。
Digoxin, propranolol (a beta-blocker), and amiodarone (an antiarrhythmic) all have negative chronotropic effects, predisposing to bradycardia, so heart rate must be assessed before administration to ensure safety. Lisinopril chiefly affects blood pressure, while furosemide is a diuretic for which key pre-administration considerations are electrolyte balance and fluid status rather than heart rate.
兩地臨床常規均要求給予影響心臟傳導藥物前評估心率,標準值常見為心跳 <60 bpm 時暫停給藥。