— 生理適應 · MEDIUM · SATA —
一位心衰竭病人服用毛地黃(Digoxin)。哪些發現應回報醫師?(選所有適合的)
A client with heart failure is taking digoxin. Which findings should the nurse report to the physician? (Select all that apply.)
- AHeart rate of 52 beats/min✓ 正解心率52次/分鐘
- BApical heart rate of 72 beats/min心尖脈搏 72 次/分鐘
- CNausea✓ 正解噁心
- DSerum potassium level of 4.2 mEq/L血清鉀濃度 4.2 mEq/L
- EYellowish vision✓ 正解視物呈黃色
— Explanation · 中文詳解 —
Digoxin 治療指數狹窄。明顯心搏過緩、新出現的噁心及視物呈黃色均可能代表藥物毒性,應暫緩後續劑量並依機構流程通知醫師、評估心律、腎功能、電解質及 digoxin 濃度。規則的心尖脈搏 72 次/分鐘與血清鉀 4.2 mEq/L 本身並不支持中毒。
Digoxin toxicity manifests through various systems, including bradycardia, gastrointestinal symptoms like nausea, and visual disturbances such as yellow-green halos. Since all listed options are classic signs of toxicity, the nurse must report them immediately to prevent serious complications.