— 藥理與非經腸給藥 · HARD · SATA —
哪些評估結果顯示服用地高辛（Digoxin）的病人可能有中毒跡象？（選所有適合的）
Which assessment findings indicate potential toxicity in a client receiving digoxin? (Select all that apply.)
- AYellow-green halos around lights✓ 正解燈光周圍出現黃綠色光暈
- BBradycardia✓ 正解心搏過緩
- CAnorexia and nausea✓ 正解食慾不振和噁心
- DIncreased urinary output尿量增加
- EConfusion and weakness✓ 正解意識混亂和虛弱
— Explanation · 中文詳解 —
地高辛毒性表現廣泛，經典症狀包括視力異常（黃綠光暈）、心搏過慢、腸胃道症狀（噁心、厭食）以及中樞神經系統症狀。尿量增加並非中毒特徵，通常地高辛反而是用來改善心衰竭水腫，透過利尿效應。識別早期中毒跡象對於預防致命性心律不整至關重要。
Digoxin toxicity manifests through various systems, including visual disturbances like yellow-green halos, gastrointestinal symptoms such as anorexia and nausea, and neurological changes like confusion. Additionally, because digoxin slows conduction, bradycardia is a key indicator of excess medication, whereas increased urinary output typically reflects improved cardiac function rather than toxicity.
✦ 台美臨床差異
美國醫護對於 Digi-bind 應用較普及；台灣則多採取洗胃或保守支持療法。