— 健康促進與維護 · HARD · MCQ —
一位 65 歲個案正在服用 alendronate 治療骨質疏鬆。護理師應提供哪些指導以確保藥效與安全？
A 65-year-old client is taking alendronate for osteoporosis. Which instructions should the nurse provide to ensure effectiveness and safety?
- ATake the medication with a full glass of milk用一杯全脂牛奶送服藥物
- BStay upright for at least 30 minutes after taking the medication✓ 正解服藥後至少保持直立姿勢30分鐘
- CCrush the pill if it is too difficult to swallow若吞嚥困難則將藥丸碾碎
- DTake the medication immediately before bedtime在睡前立即服用藥物
— Explanation · 中文詳解 —
雙磷酸鹽類藥物（如 alendronate）極具食道刺激性，可能導致食道炎或潰瘍。務必以白開水服用，且服藥後需保持直立至少 30 分鐘以預防逆流。鈣製品會降低其吸收，因此不可與牛奶同時服用。絕對不可磨碎藥片，因為會破壞腸溶塗層或增加黏膜直接刺激。
To prevent esophageal irritation and ulceration, clients taking alendronate must remain upright for at least 30 minutes after ingestion. The medication should be taken with plain water, not milk or other calcium-rich beverages, and the tablet must never be crushed to avoid damaging the esophagus.
✦ 台美臨床差異
兩國在骨鬆治療衛教上高度相似，護理師通常會利用藥物盒或標籤加強提醒服藥後的姿勢要求。