— 藥理與非經腸給藥 · MEDIUM · MCQ —
給予 Spironolactone (保鉀利尿劑) 前,必須評估哪些數據?
Which lab values are mandatory to assess before administering Spironolactone?
- ASerum potassium✓ 正解血清鉀
- BHemoglobin level血色素
- CSerum sodium血清鈉
- DSerum glucose血清葡萄糖
— Explanation · 中文詳解 —
Spironolactone 是一種保鉀利尿劑(Potassium-sparing diuretic),透過拮抗醛固酮(Aldosterone)作用,抑制遠端腎小管對鈉的再吸收,同時減少鉀的排泄。因此,使用前必須評估血鉀數值,以防止高血鉀(Hyperkalemia)造成的致命心律不整。這是用藥安全中最重要的實驗室監測項目。
Spironolactone is a potassium-sparing diuretic that inhibits aldosterone, reducing potassium excretion and risking life-threatening hyperkalemia. Therefore, serum potassium levels must be assessed before administration to ensure patient safety.