— 藥理與非經腸給藥 · MEDIUM · MCQ —
病人被給予 Nalbuphine。護理師應優先監測什麼?
A client is administered Nalbuphine. Which priority should the nurse monitor?
- ARespiratory status✓ 正解呼吸狀態
- BUrine output尿量
- CLiver enzymes肝酵素
- DBlood glucose血糖
— Explanation · 中文詳解 —
Nalbuphine 是一種鴉片類受體激動劑-拮抗劑(Opioid agonist-antagonist)。雖然其呼吸抑制作用具有「天花板效應(Ceiling effect)」,在劑量達到一定程度後不會進一步增加抑制,但臨床上使用鴉片類藥物時,呼吸狀態仍是絕對的優先評估項目(ABC原則:呼吸優先)。
Although nalbuphine has a ceiling effect on respiratory depression, respiratory status remains the priority assessment due to the inherent risks associated with opioid agonist-antagonists. Monitoring breathing aligns with the ABC (Airway, Breathing, Circulation) framework to ensure patient safety during administration.