— 藥理與非經腸給藥 · HARD · SATA —
護理師應針對接受 gentamicin 治療的病人監測哪些項目？（選所有適合的）
Which assessment findings should a nurse monitor for a patient receiving gentamicin therapy? (Select all that apply.)
- ASerum creatinine levels✓ 正解血清肌酸酐濃度
- BHigh-pitched tinnitus✓ 正解高頻耳鳴
- CSerum potassium levels血清鉀離子濃度
- DDizziness or vertigo✓ 正解頭暈或眩暈
- EBUN levels✓ 正解BUN 濃度
— Explanation · 中文詳解 —
Gentamicin 屬於氨基糖苷類（Aminoglycosides）抗生素，臨床上需嚴格監測其治療窗。此類藥物具有顯著的腎毒性（Nephrotoxicity）與耳毒性（Ototoxicity）。護理師應監測腎功能指標（Creatinine, BUN）以及聽力與平衡感變化（耳鳴、暈眩）。監測這些指標能協助醫師調整劑量，預防不可逆的損傷。
Gentamicin, an aminoglycoside, carries significant risks of nephrotoxicity and ototoxicity, requiring close monitoring of renal function via serum creatinine and BUN levels. Nurses should also assess for auditory and vestibular changes, such as high-pitched tinnitus and dizziness, to detect early signs of irreversible damage and adjust therapy accordingly.