— 健康促進與維護 · MEDIUM · SATA —
護理師對老年人進行藥物安全衛教。應包含哪些指導？（選所有適合的）
A nurse is teaching a group of older adults about medication safety. Which instructions should be included? (Select all that apply.)
- AUse a pill organizer to manage multiple medications✓ 正解使用藥盒來管理多種藥物
- BBring all medications to every doctor's visit✓ 正解每次看診時攜帶所有藥物
- CCrush all pills for easier swallowing將所有藥丸壓碎以便吞嚥
- DConsult the pharmacist about potential drug interactions✓ 正解就潛在藥物交互作用諮詢藥師
- ECheck the expiration date on all labels✓ 正解檢查所有標籤上的有效日期
— Explanation · 中文詳解 —
長者常有多重用藥（Polypharmacy），使用藥盒（A）、攜帶藥物總覽（B）、諮詢藥師（D）與檢查效期（E）皆正確。不可隨意壓碎（C），因為許多藥品具緩釋（ER/SR）設計，壓碎會導致劑量過高而中毒。
Medication safety for older adults includes using pill organizers to manage polypharmacy, bringing all medications to visits for reconciliation, consulting pharmacists about interactions, and checking expiration dates. Crushing all pills is unsafe because it can destroy sustained-release mechanisms, leading to potential toxicity from rapid drug absorption.
✦ 台美臨床差異
台灣推動「社區藥局」諮詢，護理師在門診時會頻繁鼓勵病人運用此資源。