— 藥理與非經腸給藥 · EASY · SATA —
下列哪些藥物在給藥前，護理師需測量心尖脈滿一分鐘？（選所有適合的）
Which of the following medications require the nurse to assess the apical pulse for a full minute before administration? (Select all that apply.)
- ADigoxin✓ 正解Digoxin（地高辛）
- BMetoprolol✓ 正解Metoprolol（美托洛爾）
- CLisinoprilLisinopril（賴諾普利）
- DAmiodarone✓ 正解Amiodarone（胺碘酮）
- EFurosemideFurosemide（呋塞米）
— Explanation · 中文詳解 —
Digoxin、Beta-blocker（如 Metoprolol）及抗心律不整藥物（如 Amiodarone）均有抑制竇房結或房室結傳導、減慢心率的作用。給藥前需確保心跳在安全範圍內（通常 Digoxin 為 <60 bpm 需停藥），以防嚴重緩脈。
Digoxin, beta-blockers like metoprolol, and antiarrhythmics like amiodarone all have the potential to significantly slow the heart rate by affecting the sinoatrial or atrioventricular nodes. Nurses must assess the apical pulse for a full minute before administration to ensure the heart rate is within a safe range, typically above 60 beats per minute for digoxin, to prevent dangerous bradycardia.
✦ 台美臨床差異
台灣醫院評鑑多要求這類藥物執行嚴格的心跳評估，且紀錄於護理紀錄中。