一位哮喘病人同時處方了沙丁胺醇（Albuterol）和倍氯米松（Beclomethasone）吸入劑。護理師應如何指導給藥順序？
A client is prescribed albuterol and beclomethasone inhalers for asthma. Which instruction should the nurse provide regarding the sequence of administration?
- AThe sequence does not matter as long as both are used只要兩者都有使用，順序並不重要
- BUse beclomethasone first to reduce inflammation, then albuterol先使用倍氯米松以減輕發炎，然後再使用沙丁胺醇
- CMix the two medications in a nebulizer for combined delivery將兩種藥物混合於霧化器中以聯合給藥
- DUse albuterol first, wait 5 minutes, then use beclomethasone✓ 正解先使用沙丁胺醇，等待 5 分鐘後，再使用倍氯米松
Albuterol 是短效支氣管擴張劑（Bronchodilator），而 Beclomethasone 是類固醇（Corticosteroid）。應先使用支氣管擴張劑將呼吸道打開，等待約 5 分鐘後，再使用類固醇吸入劑。這樣可以讓類固醇藥物更深、更有效地進入肺部發揮抗炎作用。使用完類固醇後，應提醒病人漱口以預防口腔念珠菌感染。
Albuterol is a short-acting bronchodilator, whereas beclomethasone is a corticosteroid. The bronchodilator should be used first to open the airways; after waiting about 5 minutes, the inhaled corticosteroid is then used. This allows the steroid to penetrate the lungs more deeply and exert its anti-inflammatory effect more effectively. After using the corticosteroid, the client should be reminded to rinse the mouth to prevent oral candidiasis.
台美在氣喘指導上完全一致：先擴張、後消炎、要漱口。