— 藥理與非經腸給藥 · HARD · SATA —
護理師正準備給藥，下列哪些病人需要優先給藥？（選所有適合的）
A nurse is preparing to administer medications to a client. Which of the following clients would require the nurse to prioritize the medication administration? (Select all that apply.)
- AA client with type 1 diabetes requiring insulin at 08:00✓ 正解需在 08:00 接受胰島素治療的第一型糖尿病病人
- BA client with a scheduled antibiotic due at 08:00排定於 08:00 給藥的抗生素病人
- CA client with severe pain requesting PRN analgesics要求使用處方止痛藥緩解嚴重疼痛的病人
- DA client with a cardiac arrhythmia requiring antiarrhythmic medication✓ 正解需接受抗心律不整藥物治療的心律異常病人
- EA client with a daily vitamin supplement需服用每日維生素補充品的病人
— Explanation · 中文詳解 —
護理給藥優先級應考量藥物的關鍵性與治療窗。胰島素（A）若延誤會導致血糖波動；抗心律不整藥物（D）若未按時給予可能引發致命心律問題。抗生素（B）重要但有給藥時間視窗；止痛藥（C）雖重要但屬舒適範疇；維生素（E）優先級最低，非急迫藥物。
Medication prioritization should focus on drugs with narrow therapeutic windows or those critical for physiological stability, such as insulin for glycemic control and antiarrhythmics for preventing lethal heart rhythms. While antibiotics and analgesics are important, they generally allow for slightly more flexibility or address comfort rather than immediate survival.
✦ 台美臨床差異
美台給藥優先順序邏輯相同，皆依據藥物治療窗與生命影響程度區分。