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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.

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