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藥理與非經腸給藥 · HARD · MCQ

護理師照顧青光眼病人。下列哪項藥物應對其醫囑提出質疑?

A nurse is caring for a client with glaucoma. Which medication should be questioned by the nurse?

  • APilocarpine
    匹魯卡品
  • BAcetazolamide
    乙醯唑胺
  • CAtropine✓ 正解
    阿托品
  • DTimolol
    替莫洛爾
Explanation · 中文詳解

青光眼(Glaucoma)病人,尤其是閉鎖性青光眼,需避免使用會引起瞳孔擴大(Mydriasis)的藥物。瞳孔擴大會導致虹膜推擠向隅角,進一步阻塞房水(Aqueous humor)排出,導致眼壓(IOP)急劇升高,引發急性發作。護理師在給藥前必須評估醫囑藥物是否具有抗膽鹼(Anticholinergic)特性,這類藥物會導致散瞳,對此類病人具有潛在危險。

Atropine should be questioned because it is an anticholinergic agent that causes mydriasis (pupil dilation). In clients with glaucoma, particularly closed-angle glaucoma, dilating the pupil can push the iris against the drainage angle, obstructing aqueous humor outflow and dangerously increasing intraocular pressure.

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