— 藥理與非經腸給藥 · MEDIUM · SATA —
若病人脈搏為每分鐘 52 下，應暫停給予下列哪些藥物？（選所有適合的）
Which of the following medications should be held if the client's heart rate is 52 beats per minute? (Select all that apply.)
- ADigoxin✓ 正解地高辛 (Digoxin)
- BAtenolol✓ 正解阿替洛爾 (Atenolol)
- CDiltiazem✓ 正解地爾硫卓 (Diltiazem)
- DLisinopril貝那普利 (Lisinopril)
- EAspirin阿斯匹靈 (Aspirin)
— Explanation · 中文詳解 —
Digoxin 為強心劑，具有減慢心跳的負性變時作用；Atenolol 為乙型阻斷劑，Diltiazem 為鈣離子通道阻斷劑，皆會降低心率。一般臨床心率 <60 bpm 時，上述藥物需暫停並通知醫師，以防過度心搏過緩導致灌流不足。
Digoxin, atenolol, and diltiazem can all slow the heart rate and should be withheld if the client is bradycardic (heart rate <60 bpm) to prevent further hemodynamic compromise. Lisinopril and aspirin do not significantly affect heart rate and do not need to be held for this specific parameter.
✦ 台美臨床差異
美台臨床對心跳 <60 bpm 暫停心臟藥物的指引相似，但美國更強調護理師的主動判斷權。