— 藥理與非經腸給藥 · HARD · SATA —
哪些藥物需要監測血清肌酸酐？（選所有適合的）
Which medications require monitoring of serum creatinine? (Select all that apply.)
- AVancomycin✓ 正解萬古黴素
- BGentamicin✓ 正解慶大黴素
- CLisinopril✓ 正解利辛普
- DAspirin阿斯匹靈
- EAcetaminophen乙醯胺酚
— Explanation · 中文詳解 —
Vancomycin 與 Gentamicin 具備明顯的腎毒性，服用期間需監測腎功能（Creatinine）。Lisinopril (ACEI) 雖是血壓藥，但會影響腎絲球過濾壓，也需追蹤。Aspirin 和 Acetaminophen 主要代謝在肝臟或有其他副作用，非腎毒性首選監測項目。
Vancomycin and gentamicin are well-known for their potential nephrotoxicity, requiring regular monitoring of renal function. Lisinopril, an ACE inhibitor, can also affect glomerular filtration pressure and may cause acute kidney injury, necessitating serum creatinine checks. Aspirin and acetaminophen are not primarily associated with nephrotoxicity.
✦ 台美臨床差異
兩地對腎毒性藥物的監測規範高度一致，臨床流程皆包含定期檢查腎功能指數。