護理師照護一位敗血性休克的病人。儘管已進行液體復甦，病人的血壓仍為 80/40 mmHg。護理師應預期給予哪種藥物？
A nurse is caring for a client with septic shock. The client's blood pressure is 80/40 mmHg despite fluid resuscitation. Which medication should the nurse anticipate administering?
- AFurosemide (Lasix)Furosemide（呋塞米，Lasix）
- BPotassium chloridePotassium chloride（氯化鉀）
- CSodium bicarbonateSodium bicarbonate（碳酸氫鈉）
- DDopamine (Intropin)✓ 正解Dopamine（多巴胺，Intropin）
敗血性休克時，血管擴張導致血壓下降。若液體復甦後血壓仍低，需使用血管加壓劑（vasopressors）來提升血壓。Dopamine 是一種常用的血管加壓劑，能增加心輸出量和收縮血管。Furosemide 是利尿劑，會降低血壓；鉀離子和碳酸氫鈉與提升血壓無關。
In septic shock, vasodilation causes the blood pressure to fall. If hypotension persists despite fluid resuscitation, vasopressors are required to raise the blood pressure. Dopamine is a commonly used vasopressor that increases cardiac output and constricts blood vessels. Furosemide is a diuretic and would lower blood pressure; potassium chloride and sodium bicarbonate are unrelated to raising blood pressure.
美國重症監護師需熟悉多種血管加壓藥物的配伍和滴定；台灣護理師也在加護病房執行，但藥物種類和使用時機的差異，需依醫院藥事委員會規定。