病人醫囑給予靜脈注射速尿靈（Furosemide）40 mg。護理師在給藥期間應監測哪些項目？（選所有適合的）
A client is prescribed intravenous furosemide 40 mg. Which findings should the nurse monitor during administration? (Select all that apply.)
- ABlood pressure✓ 正解血壓
- BSerum potassium levels✓ 正解血清鉀濃度
- CBlood glucose levels血糖濃度
- DHearing status✓ 正解聽力狀況
- EUrine output✓ 正解尿量
Furosemide 為強力利尿劑，會導致體液減少與血壓下降（A），造成鉀離子流失（B），需監測電解質。靜脈給藥過快可能引起暫時性耳毒性（D），需注意是否有耳鳴或聽力異常。同時，利尿效果應透過尿量（E）來評估反應。血糖（C）雖可能受影響，但並非給藥過程中的即時監測重點。
Furosemide is a potent loop diuretic that causes rapid fluid loss, which can lead to hypotension, making blood pressure monitoring essential. It also promotes potassium excretion, increasing the risk of hypokalemia, so serum electrolytes must be checked. Rapid intravenous administration carries a risk of ototoxicity, requiring assessment of hearing status. Additionally, urine output is the primary indicator of the drug's therapeutic effectiveness.
台灣針對 furosemide 靜脈給藥速率有嚴格規定，通常要求 1-2 分鐘以上，避免耳毒性。