— 藥理與非經腸給藥 · MEDIUM · MCQ —
病人被開立 Lisinopril。護理師應指導病人若出現何種副作用需立即回報？
A patient is prescribed Lisinopril. Which side effect should the nurse instruct the client to report immediately?
- ADizziness upon standing站立時頭暈
- BDry cough乾咳
- CHeadache頭痛
- DSwelling of the lips and tongue✓ 正解嘴唇和舌頭腫脹
— Explanation · 中文詳解 —
ACE Inhibitor（如 Lisinopril）最危險的副作用是血管神經性水腫（Angioedema）。雖然乾咳（B）常見，但屬於良性且非危及生命；而唇舌腫脹會導致呼吸道阻塞，屬於緊急醫療狀況，需立即停藥並就醫。
The nurse should instruct the client to immediately report swelling of the lips and tongue, as this indicates angioedema, a potentially life-threatening adverse reaction to ACE inhibitors like lisinopril. While dry cough and dizziness are known side effects, they are not as urgent as airway compromise.
✦ 台美臨床差異
美台臨床皆強調 ACEI 引發血管神經性水腫的嚴重性，衛教內容高度一致。