— 降低風險 · EASY · MCQ —
一位高血壓病人服用 Lisinopril。護理師應指導病人若出現下列何種副作用，需立即回報？
A client with a history of hypertension is prescribed lisinopril. Which side effect should the nurse instruct the client to report immediately?
- AMild headaches輕微頭痛
- BFacial swelling and dyspnea✓ 正解臉部腫脹和呼吸困難
- CDry, persistent cough乾性持續咳嗽
- DDizziness upon standing站立時的頭暈
— Explanation · 中文詳解 —
Lisinopril 為 ACE Inhibitor。血管性水腫（Angioedema）是其嚴重、致命的副作用，表現為臉部、嘴唇、舌頭腫脹及呼吸困難，若不處理將導致呼吸道阻塞。雖乾咳（C）也是常見副作用，但其危險性遠低於血管性水腫。
Clients taking lisinopril must report facial swelling and dyspnea immediately, as these are signs of angioedema, a potentially life-threatening airway compromise. Although dry cough is a common side effect, it is not as urgent as angioedema, which requires immediate medical intervention to prevent respiratory obstruction.
✦ 台美臨床差異
美台護理人員對 ACEI 相關副作用的衛教內容一致，均強調血管性水腫的急迫性。