— 藥理與非經腸給藥 · MEDIUM · MCQ —
病人獲處方 SSRI（選擇性血清素再吸收抑制劑），哪項衛教應優先？
A client is prescribed an SSRI. Which education point should the nurse prioritize?
- AStop the medication if insomnia occurs若發生失眠請停止用藥
- BTake with alcohol for better sedation與酒精同服以增強鎮靜效果
- CAvoid all protein-rich foods避免所有富含蛋白質的食物
- DThe medication may take several weeks for full effect✓ 正解藥物可能需要數週才能發揮完整療效
— Explanation · 中文詳解 —
SSRI 類抗憂鬱藥需要數週才能達到藥效。病人常因初期無感而自行停藥，護理師需強調耐心服藥的重要性。絕對禁止與酒精併用（會增加中樞抑制），且無須避免蛋白質。失眠是初期副作用，應教導管理技巧而非自行停藥。
Clients must be educated that SSRIs typically require several weeks to achieve their full therapeutic effect, emphasizing the importance of adherence. Abrupt discontinuation should be avoided to prevent withdrawal symptoms, and alcohol must be strictly prohibited as it exacerbates central nervous system depression. Dietary restrictions regarding protein are not necessary for this medication class.
✦ 台美臨床差異
兩地對於憂鬱症用藥的衛教原則一致，皆需強調服藥順從性。