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護理師檢視新開立的醫囑，對象為所負責的個案。哪些醫囑在執行前需要進一步確認？請標示出有立即安全疑慮的項目。

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Client data個案資料	New prescription新醫囑
Atrial fibrillation; apical pulse 78/min心房顫動；心尖脈搏78次/分鐘	Give metoprolol 25 mg orally; hold if pulse is below 60/min.給予metoprolol 25 mg口服；若脈搏低於60次/分鐘則暫停。
Postoperative; respirations 8/min and difficult to arouse術後；呼吸8次/分鐘且難以喚醒	Give morphine 4 mg intravenously now for severe postoperative pain.因嚴重術後疼痛，立即靜脈注射morphine 4 mg。
Heart failure; potassium 3.2 mEq/L and urine output adequate心衰竭；鉀離子3.2 mEq/L且尿量足夠	Give potassium chloride 20 mEq diluted in prescribed intravenous fluid.將氯化鉀20 mEq稀釋於醫囑的靜脈輸液中給予。
Pneumonia; cultures collected and no listed allergy肺炎；已收集痰液培養且無已知過敏	Begin the prescribed intravenous antibiotic after pharmacy verification.藥局核對後，開始使用醫囑的靜脈抗生素。
New deep-vein thrombosis; platelet count 38,000/mm³新診斷深層靜脈栓塞；血小板計數38,000/mm³	Give enoxaparin 1 mg/kg subcutaneously every 12 hours.每12小時皮下注射enoxaparin 1 mg/kg。
Pulmonary edema; blood pressure 168/92 mm Hg肺水腫；血壓168/92 mm Hg	Give prescribed intravenous furosemide and monitor urine output.給予醫囑的靜脈furosemide並監測尿量。
Diabetes; glucose 68 mg/dL and meal tray delayed糖尿病；血糖68 mg/dL且餐盤延遲送達	Give 12 units of rapid-acting insulin before the meal arrives.在餐點送達前，給予12單位速效胰島素。
Chest pain; blood pressure 146/84 mm Hg胸痛；血壓146/84 mm Hg	Give prescribed sublingual nitroglycerin and reassess blood pressure.給予醫囑的舌下nitroglycerin並重新評估血壓。
Potassium 2.8 mEq/L; peripheral intravenous access鉀離子2.8 mEq/L；周邊靜脈管路	Give potassium chloride concentrate 20 mEq by direct IV push now.立即以直接IV push方式給予濃縮氯化鉀20 mEq。

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