— 藥理與非經腸給藥 · EASY · MCQ —
護理師照護一位服用阿斯匹靈進行心血管預防的病人。應提供哪項衛教？
A nurse is caring for a client who is taking aspirin for cardiovascular prophylaxis. Which instruction should the nurse provide?
- AStop taking the drug if you have a slight headache若有輕微頭痛，請停止服藥
- BIncrease intake of herbal supplements增加草本補充品的攝取
- CTake the medication on an empty stomach空腹服用藥物
- DMonitor for unusual bruising or bleeding✓ 正解監測是否有異常的瘀青或出血
— Explanation · 中文詳解 —
阿斯匹靈具有抗血小板聚集作用，增加出血風險。病人必須知道監測異常出血徵象（如牙齦出血、瘀青、血便）。空腹服藥可能損傷胃黏膜，故建議飯後服用。不應自行停藥，且草藥（如銀杏、人參）可能加劇出血風險，應避免。
The nurse should instruct the client to monitor for signs of unusual bruising or bleeding, as aspirin inhibits platelet aggregation and increases hemorrhage risk. Clients should take aspirin with food to protect the gastric mucosa and avoid herbal supplements that may exacerbate bleeding tendencies.
✦ 台美臨床差異
台灣病人對於合併中藥或保健食品的情況較常見，需特別提醒潛在藥物交互作用。