— 降低風險 · MEDIUM · MCQ —
護理師照護一名懷孕第三孕期的孕婦，血壓 160/100 mmHg 且反射亢進。護理師預期醫師會開立哪種優先藥物？
A nurse is caring for a client who is in the third trimester of pregnancy and presents with a blood pressure of 160/100 mmHg and hyperreflexia. Which priority medication does the nurse anticipate?
- APhenytoin苯妥英
- BLisinopril利辛普利
- CMagnesium sulfate✓ 正解硫酸鎂
- DOxytocin催產素
— Explanation · 中文詳解 —
該孕婦出現嚴重子癇前症（Preeclampsia）的徵象，包括高血壓與反射亢進。硫酸鎂（Magnesium sulfate）是預防子癇症（抽搐）的首選 CNS 抑制劑。B類藥物（ACEI）對孕婦有致畸胎風險，C類為抗癲癇藥，D類用於催生。
The client exhibits signs of severe preeclampsia, including hypertension and hyperreflexia, which place her at risk for seizures. Magnesium sulfate is the priority medication for seizure prophylaxis in this context, while ACE inhibitors are contraindicated due to fetal risks.
✦ 台美臨床差異
美台皆使用硫酸鎂作為預防子癇之標準，但美國護理師須執行每小時嚴格的毒性監測（呼吸、反射、尿量）。