— 藥理與非經腸給藥 · MEDIUM · MCQ —
病人被開立每日口服 Furosemide 40 mg。護理師在衛教中應包含下列哪項重點？
A client is prescribed furosemide 40 mg PO daily. What should the nurse include in the patient education regarding this medication?
- ALimit protein intake to avoid toxicity限制蛋白質攝取以避免毒性
- BTake the medication in the evening to prevent nocturia在傍晚服用藥物以預防夜間頻尿
- CIncrease intake of potassium-rich foods✓ 正解增加富含鉀的食物攝取
- DMonitor blood glucose levels frequently經常監測血糖水平
— Explanation · 中文詳解 —
Furosemide 是排鉀利尿劑（Loop diuretic），長期使用會導致鉀離子經由尿液大量排出，進而引發低血鉀。因此，衛教病人攝取富含鉀的食物（如香蕉、橘子）至關重要。避免晚上服用是因為會造成夜尿嚴重影響睡眠品質。
Furosemide causes potassium loss, so clients should increase potassium intake and take the medication in the morning to avoid nocturia.
✦ 台美臨床差異
台灣醫師常開立口服鉀補充劑（如 KCl 顆粒），美國則更常仰賴飲食衛教，兩者皆強調監測血鉀濃度。