— 藥理與非經腸給藥 · MEDIUM · SATA —
護理師應視為 furosemide 之不良反應有哪些？（選所有適合的）
Which of the following findings should the nurse identify as adverse effects of furosemide? (Select all that apply.)
- AHypokalemia✓ 正解低血鉀
- BHyperglycemia✓ 正解高血糖
- COtotoxicity✓ 正解耳毒性
- DHypertension高血壓
- EHypocalcemia✓ 正解低血鈣
— Explanation · 中文詳解 —
Furosemide 為環利尿劑，臨床常見副作用包括電解質失衡（低鉀、低鈣）、代謝改變（高血糖）以及高劑量下可能引發的耳毒性。此藥物排鈉也排鉀，長期使用需監測電解質水平及血糖變化，並留意耳鳴等異常感覺。
Furosemide is a loop diuretic that commonly causes electrolyte imbalances such as hypokalemia and hypocalcemia by increasing renal excretion. It can also lead to metabolic changes like hyperglycemia and, particularly with rapid IV administration, ototoxicity. These adverse effects require careful monitoring of laboratory values and auditory function.
✦ 台美臨床差異
台灣醫院對於 loop diuretics 的給藥速度監控有嚴格標準，以防耳毒性發生。