— 健康促進與維護 · MEDIUM · MCQ —
護理師教導一群高齡者關於藥物安全管理。最重要的一項指引為何？
A nurse is teaching a group of older adults about safe medication management. Which is the most important guideline?
- ASkip doses if the medication makes you feel nauseous若藥物引起噁心感則跳過劑量
- BUse multiple pharmacies to get better deals使用多家藥局以獲得更優惠的價格
- CShare medications with friends who have similar symptoms與症狀相似的朋友分享藥物
- DKeep a list of all current medications including OTC drugs✓ 正解保留所有目前使用的藥物清單，包括非處方藥
— Explanation · 中文詳解 —
高齡者常有多重用藥（Polypharmacy）需求，藥物調節（Medication Reconciliation）是確保病人安全的核心護理行為。維護一份包含處方藥、非處方藥（OTC）及保健食品的清單，能有效預防因藥物交互作用或重複用藥導致的副作用。護理師應教導個案將清單隨身攜帶，以利就醫時供醫療人員評估。
Medication reconciliation is a core nursing responsibility for older adults who often experience polypharmacy, as it ensures patient safety by identifying potential risks. Maintaining an accurate, up-to-date list of all prescriptions, over-the-counter drugs, and supplements helps prevent adverse drug interactions and duplicate therapies during healthcare transitions.
✦ 台美臨床差異
在美國，建議病人固定使用一家藥局（Pharmacy）以維持完整的電子處方紀錄（Prescription Profile），此舉能透過系統自動偵測藥物交互作用，這是藥師臨床照護的重要職責。