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生理適應 · HARD · MCQ

一位有嚴重氣喘病史的病人因氣喘持續惡化入院。護理師準備給藥,哪種藥物最需優先給予?

A client with a history of severe asthma is admitted with status asthmaticus. The nurse is preparing to administer medications. Which medication is most critical to administer first?

  • AInhaled corticosteroid
    吸入性皮質類固醇
  • BIntravenous methylprednisolone
    靜脈注射甲基潑尼松龍
  • CNebulized albuterol✓ 正解
    霧化吸入沙丁胺醇
  • DOral prednisone
    口服潑尼松
Explanation · 中文詳解

氣喘持續惡化 (Status asthmaticus) 是危及生命的緊急情況,需要快速緩解支氣管痙攣。霧化吸入的短效乙型促進劑(SABA,如 albuterol)作用迅速,能快速擴張支氣管,是最優先的急救藥物。類固醇(靜脈或口服)雖然重要,但作用較慢,是後續治療。

Status asthmaticus is a life-threatening emergency requiring immediate bronchodilation to relieve airway obstruction. Nebulized albuterol, a short-acting beta-agonist (SABA), acts rapidly to relax bronchial smooth muscle and is the priority intervention. While corticosteroids like methylprednisolone or prednisone are important for reducing inflammation, they have a delayed onset of action and are used as adjunctive therapy rather than initial rescue treatment.

✦ 台美臨床差異

美國急診室配備霧化器,護理師能立即給予治療;台灣急診室也提供霧化治療,但病人等待時間可能較長,須優先處理危急個案。

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