— 藥理與非經腸給藥 · MEDIUM · MCQ —
病人被開立處方 Lisinopril。哪種副作用護理師應教導病人立即回報？
A client is prescribed lisinopril. Which side effect should the nurse instruct the client to report immediately?
- AHeadache頭痛
- BPersistent dry cough持續性乾咳
- CDizziness upon standing站立時頭暈
- DSwelling of the lips and tongue✓ 正解嘴唇和舌頭腫脹
— Explanation · 中文詳解 —
Lisinopril 是 ACE 抑制劑，血管性水腫（Angioedema）是其罕見但危及生命的嚴重副作用。嘴唇與舌頭腫脹代表呼吸道梗阻風險，必須立即就醫。乾咳（B）雖常見但屬非緊急事件；頭痛與姿勢性低血壓（A、C）為常見症狀，通常不需立即停藥，但需調整生活習慣。
Lisinopril, an ACE inhibitor, can cause angioedema, a life-threatening condition involving swelling of the lips and tongue that compromises the airway. While dry cough and dizziness are common side effects, angioedema requires immediate medical intervention.
✦ 台美臨床差異
美國非常強調 ACEI 引起血管性水腫的急救教育，台灣則相對關注慢性副作用追蹤。