— 藥理與非經腸給藥 · MEDIUM · SATA —
護理師為心衰竭病人給予地高辛（Digoxin），下列哪些臨床表現提示藥物中毒？（選所有適合的）
A nurse is administering a dose of digoxin to a client with heart failure. Which clinical manifestations indicate digoxin toxicity? (Select all that apply.)
- AYellow-green halos around lights✓ 正解燈光周圍出現黃綠色光暈
- BBradycardia✓ 正解心搏過緩
- CAnorexia and nausea✓ 正解食慾不振和噁心
- DTachycardia心搏過速
- EMuscle weakness肌肉無力
— Explanation · 中文詳解 —
地高辛中毒的常見三聯症狀為視覺異常（如黃綠光暈）、心律變慢以及胃腸道症狀（食慾不振、噁心嘔吐）。心跳過慢（小於 60 次/分）為常見徵象。而心跳過快通常不是中毒表現。肌肉無力多見於低血鉀，而非地高辛直接毒性。
Signs of digoxin toxicity include visual disturbances such as yellow-green halos, bradycardia due to increased vagal tone, and gastrointestinal symptoms like anorexia and nausea. Tachycardia is not a typical sign, and muscle weakness is more commonly associated with hypokalemia.
✦ 台美臨床差異
台灣醫院在給藥前會強制核對心尖脈，美國部分醫院已簡化流程，重點放在教育病人自我監測。