— 藥理與非經腸給藥 · EASY · MCQ —
一位服用華法林(Warfarin)的病人。哪種飲食選擇顯示需要進一步的飲食衛教?
A client is taking warfarin. Which food choice indicates a need for further dietary teaching?
- ASpinach salad✓ 正解菠菜沙拉
- BApple slices蘋果片
- CWhite rice白飯
- DBaked chicken烤雞肉
— Explanation · 中文詳解 —
Warfarin 的作用機制為維生素 K 拮抗劑。菠菜(Spinach)含有極高的維生素 K,會抵銷華法林的抗凝血效果,影響 PT/INR 數值。病人應保持攝取含維生素 K 食物的「穩定性」,而非禁止,但此選項顯示病人對此攝取需謹慎的認知可能不足,故需衛教。
Warfarin functions as a vitamin K antagonist, so consuming foods high in vitamin K, such as spinach, can interfere with its anticoagulant effect. While patients should maintain a consistent intake rather than avoiding these foods entirely, selecting spinach indicates a potential lack of understanding regarding the need for dietary stability to ensure therapeutic efficacy.
✦ 台美臨床差異
台灣飲食中含深綠色蔬菜較多,護理師需特別提醒病人保持飲食習慣固定,而非隨意變動攝取量。