— 藥理與非經腸給藥 · MEDIUM · MCQ —
一位病人被處方使用他汀類藥物。護理師應教導病人立即報告哪個症狀？
A client is prescribed a statin medication. The nurse should educate the client to report which symptom immediately?
- ADry mouth口乾
- BMuscle pain or weakness✓ 正解肌肉疼痛或無力
- CMild headache輕微頭痛
- DOccasional indigestion偶發性消化不良
— Explanation · 中文詳解 —
他汀類藥物（statins）是常見的降血脂藥，其最嚴重的副作用是橫紋肌溶解症（rhabdomyolysis）。這是一種肌肉組織壞死的急性病症，壞死後的肌紅蛋白會釋放到血液中，若沉積在腎小管可能導致急性腎衰竭。因此，病人若出現不明原因的肌肉疼痛、觸痛或無力，必須立即回報醫療團隊進行血液檢查（如肌酸激酶 CK 值）。
Statin therapy carries a risk of rhabdomyolysis, a serious condition involving muscle breakdown that can lead to acute renal failure. Clients must be educated to report unexplained muscle pain, tenderness, or weakness immediately for prompt evaluation of creatine kinase levels.