— 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。