— 藥理與非經腸給藥 · MEDIUM · SATA —
哪些評估結果顯示病人對地高辛（digoxin）產生了治療效果？（選所有適合的）
Which assessment findings indicate that a client is experiencing a therapeutic effect from digoxin? (Select all that apply.)
- AImproved exercise tolerance✓ 正解運動耐受力改善
- BDecreased peripheral edema✓ 正解周邊水腫減少
- CNormal heart rate心率正常
- DIncreased urine output✓ 正解尿量增加
- EResolution of yellow-green halos黃綠色光暈消失
— Explanation · 中文詳解 —
Digoxin 為強心劑，可增加心肌收縮力並減慢心跳。其治療效應體現於心輸出量增加，導致周邊水腫改善、運動耐受力提升及腎血流增加（排尿增加）。選項 C 若為嚴重的心跳過慢則非治療指標；E 為中毒表現，非治療效果。
Digoxin increases myocardial contractility and improves cardiac output, leading to therapeutic effects such as reduced peripheral edema, increased exercise tolerance, and improved renal perfusion resulting in increased urine output. While a normal heart rate is expected, it is not the primary indicator of therapeutic success compared to these hemodynamic improvements.
✦ 台美臨床差異
美國現今因 Digoxin 治療窗窄且副作用多，臨床使用率下降；台灣臨床仍常用於控制心房顫動伴隨心衰竭病人。