— 生理適應 · EASY · MCQ —
個案發生急性痛風發作。護理師預期醫師會開立何種藥物緩解疼痛？
A client is experiencing an acute gout flare-up. Which medication should the nurse anticipate the healthcare provider to order for pain management?
- AAcetaminophen乙醯胺酚 (Acetaminophen)
- BIndomethacin✓ 正解吲哚美辛 (Indomethacin)
- CProbenecid丙磺舒 (Probenecid)
- DAllopurinol別嘌醇 (Allopurinol)
— Explanation · 中文詳解 —
急性痛風發作期旨在緩解發炎與疼痛。NSAIDs（如 Indomethacin）是急性期首選藥物，能有效抑制前列腺素合成。Allopurinol 與 Probenecid 用於慢性期降低尿酸，急性期使用反而可能加重病情或無效。
Indomethacin, a nonsteroidal anti-inflammatory drug (NSAID), is the priority choice for managing acute gout pain because it effectively inhibits prostaglandin synthesis. Allopurinol and probenecid are used for chronic management and are not indicated for acute flare-ups.
✦ 台美臨床差異
美台對於急性痛風用藥指引一致，皆優先使用 NSAIDs 或 Colchicine（若在發作 24 小時內）。