— 藥理與非經腸給藥 · EASY · MCQ —
護理師指導病人服用口服鐵劑。病人下列何種敘述代表已了解指導內容？
A nurse is teaching a patient about taking prescribed oral iron supplements. Which statement by the patient indicates an understanding of the instructions?
- AI will take my iron with a glass of milk我會用一杯牛奶送服鐵劑
- BI should expect my stool to be light and clay-colored我應該預期我的糞便會呈淺色和陶土色
- CI can crush the sustained-release tablet if I have trouble swallowing如果我吞嚥困難，我可以將緩釋錠劑壓碎
- DI will take my iron with orange juice✓ 正解我會用柳橙汁送服鐵劑
— Explanation · 中文詳解 —
維生素 C（如柳橙汁）能增加鐵劑在酸性環境下的吸收率。牛奶會影響鐵劑吸收。服用鐵劑會導致糞便變成黑色或深綠色，屬正常現象。緩釋劑型（Sustained-release）不可壓碎，否則會影響藥物釋放速率。
Vitamin C, such as in orange juice, enhances iron absorption in the acidic environment of the stomach. Milk inhibits iron absorption, stools typically turn black or dark green, and sustained-release tablets should never be crushed.
✦ 台美臨床差異
台美對於鐵劑衛教重點相同，包括飲食禁忌與糞便顏色改變的預期心理準備。