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藥理與非經腸給藥 · MEDIUM · SATA

使用毛地黃(Digoxin)的病人出現哪些症狀時,護理師應警覺可能發生中毒?(選所有適合的)

Which assessment findings should alert the nurse to potential toxicity in a client receiving digoxin? (Select all that apply.)

  • AVisual disturbances such as green-yellow halos✓ 正解
    視覺障礙,如綠黃色光暈。
  • BBradycardia with a heart rate of 52 bpm✓ 正解
    心跳過緩,心率為每分鐘 52 次。
  • CHypertension
    高血壓。
  • DNausea and vomiting✓ 正解
    噁心與嘔吐。
  • EMuscle tremors
    肌肉震顫。
Explanation · 中文詳解

毛地黃中毒徵象常包括腸胃道不適(噁心、嘔吐)、視覺變化(綠黃色光暈、視力模糊)及心律不整(心跳過慢、心律不整)。心跳低於 60 下/分應暫停給藥並報告醫師,排除選項 C(高血壓)與 E(震顫)非典型中毒徵象。

Classic signs of digoxin toxicity include gastrointestinal disturbances like nausea and vomiting, visual changes such as green-yellow halos, and cardiac dysrhythmias like bradycardia. Heart rates below 60 bpm warrant holding the medication and reporting to the provider, whereas hypertension and muscle tremors are not typical indicators.

✦ 台美臨床差異

台美皆強調給藥前先測心尖脈,此乃安全給藥的核心黃金準則。

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