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一位服用 nintedanib 治療進行性纖維化肺病的個案出現新的發現。護理師應首先採取哪項行動？

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History

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Notes

Progressive fibrosing interstitial lung disease treated with nintedanib以 nintedanib 治療的進行性纖維化間質性肺病

BP 92/56 mm Hg, HR 114/min, respirations 22/min血壓 92/56 mm Hg，心率 114 次/分，呼吸 22 次/分

ALT 286 units/L, AST 241 units/L, total bilirubin 3.1 mg/dL, creatinine 1.5 mg/dL from 0.9 mg/dLALT 286 單位/L，AST 241 單位/L，總膽紅素 3.1 mg/dL，肌酸酐從 0.9 mg/dL 升至 1.5 mg/dL

(데이터 없음)

(데이터 없음)

1 Continue nintedanib and wait for the next annual liver panel before reporting symptoms. 繼續服用 nintedanib 並等待下次年度肝功能檢查後再報告症狀。 ✕ 2 Hold nintedanib and obtain urgent evaluation of possible drug-induced liver injury and dehydration. 暫停 nintedanib 並緊急評估可能的藥物性肝損傷和脫水。 ✕ 3 Double the next dose to replace medication lost during episodes of diarrhea. 將下一劑量加倍，以補充腹瀉期間流失的藥物。 ✕ 4 Restrict fluids and add an over-the-counter antidiarrheal without treatment-team review. 限制液體攝入並在未經治療團隊審查的情況下添加非處方止瀉劑。 ✕

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