— 藥理與非經腸給藥 · MEDIUM · MCQ —
病人獲處方吸入型皮質類固醇，哪項護理指導最重要？
A client is prescribed an inhaled corticosteroid. What is the most important nursing instruction?
- ARinse the mouth after use✓ 正解使用後漱口
- BHold the breath for 30 seconds after inhalation吸入後憋氣30秒
- CUse only when wheezing occurs僅在出現哮鳴音時使用
- DUse as a rescue inhaler作為救援吸入器使用
— Explanation · 中文詳解 —
吸入型類固醇若殘留在口腔，會增加念珠菌感染（鵝口瘡）的風險。使用後漱口可大幅降低此副作用。它屬於預防性藥物，需規律使用，而非發生喘鳴才用。它不能當作救援吸入劑（Rescue inhaler），急性發作時需用短效型支氣管擴張劑。
The most important nursing instruction is to rinse the mouth after using an inhaled corticosteroid to prevent oral candidiasis (thrush). Residual medication in the oral cavity increases the risk of fungal infection, which can be significantly reduced by rinsing and spitting. Inhaled corticosteroids are maintenance medications used regularly to control inflammation, not as rescue inhalers for acute bronchospasm.
✦ 台美臨床差異
兩地衛教內容完全一致，皆強調漱口重要性。