— 藥理與非經腸給藥 · MEDIUM · SATA —
對於服用四環黴素的病人，下列哪些介入措施是正確的？（選所有適合的）
Which of the following interventions are appropriate for a client taking tetracycline? (Select all that apply.)
- AAvoid sun exposure while on the medication✓ 正解服藥期間避免陽光曝曬
- BTake the medication with an antacid for stomach upset與制酸劑同服以緩解胃部不適
- CWear protective clothing outdoors✓ 正解戶外時穿著防護衣物
- DTake the medication on an empty stomach✓ 正解空腹服藥
- EAvoid dairy products within 2 hours of dose✓ 正解服藥前後2小時內避免攝取乳製品
— Explanation · 中文詳解 —
四環黴素（Tetracycline）屬於廣效性抗生素，其藥物動力學特性包括易與金屬離子（鈣、鎂、鋁、鐵）螯合（Chelation）形成不溶性複合物，導致吸收率大幅下降。此外，此藥具有光敏感性（Photosensitivity），易導致皮膚對紫外線反應劇烈。護理師需指導病人正確的給藥時機與生活防護，以確保藥效並預防不良反應。
Tetracyclines cause photosensitivity, so clients should avoid sun exposure and wear protective clothing to prevent severe sunburns. Additionally, tetracycline absorption is significantly reduced when taken with food, dairy products, or antacids containing calcium, magnesium, aluminum, or iron. Therefore, the medication should be taken on an empty stomach and separated from these substances by at least two hours.