— 藥理與非經腸給藥 · HARD · SATA —
一位病人被處方使用胺碘酮 (amiodarone) 治療心房顫動。護理師應監測哪些嚴重的潛在不良反應？（選所有適合的）
A client is prescribed amiodarone for atrial fibrillation. The nurse should monitor for which serious potential adverse effect? (Select all that apply.)
- APulmonary fibrosis✓ 正解肺纖維化
- BHypothyroidism✓ 正解甲狀腺功能低下
- CHepatitis✓ 正解肝炎
- DPeripheral neuropathy✓ 正解周邊神經病變
- ECorneal microdeposits✓ 正解角膜微沉積物
— Explanation · 中文詳解 —
胺碘酮（Amiodarone）是一種廣譜抗心律不整藥物，因其半衰期極長且具廣泛的組織分佈，臨床使用時需監測多系統副作用。護理師必須了解其潛在的毒性反應，包括對肺、甲狀腺、肝臟、神經及視覺的影響。這些副作用不僅影響生活品質，部分具有致死風險，因此常規性地進行胸部 X 光、肺功能測試、甲狀腺功能檢查及眼科檢查是必要的照護重點。
Nurses must monitor for serious adverse effects of amiodarone, including pulmonary fibrosis, thyroid dysfunction (hypothyroidism or hyperthyroidism), hepatotoxicity, peripheral neuropathy, and corneal microdeposits. Due to its long half-life and widespread tissue distribution, regular assessments of lung function, thyroid status, liver enzymes, and eye health are essential.