— 藥理與非經腸給藥 · MEDIUM · MCQ —
一位病人被處方使用 beta-阻斷劑治療高血壓。哪個評估發現是應優先報告給醫護人員的？
A client is prescribed a beta-blocker for hypertension. Which assessment finding is a priority to report to the healthcare provider?
- AHeart rate 70 bpm心率 70 bpm
- BBlood pressure 130/85 mmHg血壓 130/85 mmHg
- CClient reports new onset of wheezing✓ 正解病人報告新發喘鳴聲
- DClient reports feeling tired病人報告感到疲倦
— Explanation · 中文詳解 —
Beta-阻斷劑 (beta-blocker) 透過阻斷交感神經受體來降低血壓與心率。然而，非選擇性 beta-阻斷劑可能阻斷肺部的 beta-2 受體，導致支氣管收縮。對於有氣喘或阻塞性肺病史的病人，這可能引發嚴重的呼吸困難，新出現的喘鳴聲 (wheezing) 是嚴重不良反應的徵兆，必須立即處理。
New-onset wheezing is a priority finding to report because beta-blockers can cause bronchoconstriction, particularly in non-selective formulations, potentially triggering severe respiratory distress. While fatigue and stable vital signs like a heart rate of 70 bpm or blood pressure of 130/85 mmHg are expected or manageable, respiratory compromise indicates a serious adverse reaction requiring immediate medical intervention.