— 藥理與非經腸給藥 · MEDIUM · SATA —
護理師為病人進行藥物衛教，哪些藥物需要強調飲食中維生素 K 攝取的恆定性？（選所有適合的）
A nurse is educating a client about new prescriptions. Which medications require the nurse to emphasize the importance of consistent dietary intake of vitamin K? (Select all that apply.)
- AWarfarin✓ 正解華法林
- BAspirin阿斯匹靈
- CHeparin肝素
- DEnoxaparin依諾肝素
- ECoumadin✓ 正解庫馬丁
— Explanation · 中文詳解 —
Warfarin（商品名 Coumadin）屬於維生素 K 拮抗劑，其抗凝血機制會被飲食中的維生素 K 干擾。攝取過多會降低藥效，攝取過少則會增加出血風險。維持穩定的維生素 K 攝取（如綠色蔬菜）至關重要。其他藥物則無此飲食禁忌。
Warfarin, also known by the brand name Coumadin, is a vitamin K antagonist whose efficacy is directly influenced by dietary vitamin K intake. Patients must maintain a consistent consumption of vitamin K-rich foods to prevent fluctuations in INR levels, whereas other anticoagulants like aspirin or heparin are not affected by vitamin K.
✦ 台美臨床差異
台灣醫院營養室對於服用 Warfarin 病人的飲食衛教常結合跨領域團隊進行，美國則多由護理師與藥師衛教。