護理師正在照護一位有心臟衰竭病史的病人。關於藥物的出院指導，應包含哪些內容？（複選題）
A nurse is caring for a client with a history of heart failure. Which of the following discharge instructions regarding medications should the nurse include? (Select all that apply.)
- ADo not stop taking diuretics even if you feel better✓ 正解即使感覺好轉也不要停止服用利尿劑
- BTake potassium supplements as prescribed while on furosemide✓ 正解服用呋塞米期間應依醫囑補充鉀劑
- CCheck your pulse before taking digoxin and hold if less than 60 beats/min✓ 正解服用地高辛前應測量脈搏，若低於每分鐘60次則暫停給藥
- DUse over-the-counter NSAIDs for minor aches and pains對於輕微疼痛可使用非處方非類固醇抗發炎藥
- ERise slowly from a sitting or lying position✓ 正解從坐姿或臥姿起身時動作要緩慢
心臟衰竭病人的藥物教育核心在於「遵醫囑性」與「副作用管理」。A 正確：利尿劑用於減少負荷，不可擅自停藥。B 正確：Furosemide 會導致鉀流失，需配合補鉀以防心律不整。C 正確：Digoxin 具負性頻率作用，心率過慢（<60）需停藥以防中毒。E 正確：心衰竭藥物（如 ACEI、利尿劑）常引起姿勢性低血壓，緩慢起身可防跌倒。D 錯誤：NSAIDs（如 Ibuprofen）會導致水鈉滯留並惡化心衰竭，應避免使用。護理師需全盤考慮藥物間的協同與拮抗作用，並將安全原則轉化為病人可理解的行動。這題綜合了利尿劑、毛地黃與心血管藥物的衛教要點。
Clients should continue diuretics as prescribed to manage fluid overload, take potassium supplements with loop diuretics to prevent hypokalemia, and check their pulse before digoxin administration. They should also rise slowly to prevent orthostatic hypotension and avoid NSAIDs, which can worsen heart failure.
美國護理強調病人的「自我賦權（Self-empowerment）」，如自行測量脈搏與體重。台灣臨床環境中，護理師通常會花較多時間解釋藥物名稱與用法，對於 NSAIDs 這種成藥陷阱的衛教有時會被忽略，需加強提醒。