— 藥理與非經腸給藥 · MEDIUM · MCQ —
一位病人被處方使用氯吡格雷 (clopidogrel, Plavix)。護理師應指示病人避免攝取哪種物質，因其可能產生交互作用？
A client is prescribed clopidogrel (Plavix). The nurse should instruct the client to avoid consuming which substance due to potential interaction?
- AGrapefruit juice葡萄柚汁
- BCranberry juice✓ 正解蔓越莓汁
- COrange juice柳橙汁
- DMilk牛奶
— Explanation · 中文詳解 —
氯吡格雷（Clopidogrel）是一種抗血小板藥物，透過抑制 ADP 受體來防止血栓形成。臨床研究顯示，蔓越莓汁（Cranberry juice）可能透過抑制代謝酵素影響藥物代謝，或增加出血傾向，因此建議服用此藥的病人應避免大量攝取蔓越莓產品。病人安全的核心在於預防潛在的藥物與食物交互作用導致的出血風險。
Clients taking clopidogrel should avoid cranberry juice because it may increase the risk of bleeding through potential interactions with drug metabolism. This precaution helps prevent adverse effects associated with the antiplatelet properties of the medication.