— 藥理與非經腸給藥 · MEDIUM · SATA —
病人被處方一種具腎毒性的抗生素。護理師應監測哪些實驗室數值？（選所有適合的）
A client is prescribed an antibiotic that is nephrotoxic. Which laboratory values should the nurse monitor? (Select all that apply.)
- ASerum Creatinine✓ 正解血清肌酸酐
- BBlood Urea Nitrogen (BUN)✓ 正解血液尿素氮 (BUN)
- CCreatinine Clearance✓ 正解肌酸酐清除率
- DSerum Potassium血清鉀
- ESerum Albumin血清白蛋白
— Explanation · 中文詳解 —
監測腎功能是評估腎毒性藥物的重點。血清肌酸酐（Creatinine）是最具代表性的指標，BUN 亦可參考，但受水份影響。肌酸酐清除率（Creatinine Clearance）則能準確評估腎絲球過濾功能，是劑量調整的主要依據。
Monitoring renal function is essential when administering nephrotoxic antibiotics to prevent further kidney damage. Serum creatinine is the most specific indicator of renal impairment, while BUN provides additional context though it can be influenced by hydration status. Creatinine clearance offers the most accurate estimation of glomerular filtration rate, guiding dosage adjustments.
✦ 台美臨床差異
台美皆依據估算腎絲球過濾率（eGFR）調整劑量；美國藥師在腎功能監測參與度較高。