# 一名使用haloperidol的病人在第一劑後6小時出現急性斜頸與眼球上轉危象。醫師開立benztropine 2 mg IM。哪個發現最需要暫緩給藥？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=391760&lang=zh-tw  
> language: zh-TW  
> subject: Medical Emergencies  
> category: PA

## 題目

一名使用haloperidol的病人在第一劑後6小時出現急性斜頸與眼球上轉危象。醫師開立benztropine 2 mg IM。哪個發現最需要暫緩給藥？

## 選項

1. BMI 24
2. 輕微季節性過敏
3. 病歷記載閉角型青光眼 **✔ 正確答案**
4. 以lisinopril控制的高血壓

**正確答案: 3**

## 解析

正解 (1): 閉角型青光眼是抗膽鹼藥（benztropine, trihexyphenidyl）的禁忌，因瞳孔放大可能誘發急性閉角、眼壓上升與失明。其他禁忌包括麻痺性腸阻塞、嚴重BPH/尿滯留、嚴重潰瘍性結腸炎、重症肌無力。(2,3,4) 不是禁忌。

## 深入解析

Memory Tip 抗膽鹼禁忌 = 眼、腸、尿、肌：閉角型青光眼、麻痺性腸阻塞、尿滯留/BPH、重症肌無力。急性dystonia第一線為diphenhydramine IM/IV或無禁忌時benztropine。

## 臨床情境

Scenario 32歲男性，6小時前剛接受第一劑haloperidol；現在有急性dystonia：頸部扭轉、眼球上轉。醫囑benztropine 2 mg IM。

## 重要概念

- **急性dystonia** — 抗精神病藥治療早期出現的突然不自主肌肉收縮，如斜頸、眼球上轉、角弓反張。
- **抗膽鹼禁忌** — 閉角型青光眼、麻痺性腸阻塞、尿滯留、BPH、重症肌無力。
- **眼球上轉危象** — 眼球不自主向上偏斜，是急性dystonia的一種。

## 相同主題題目

- [A nurse is caring for an alert adult client with type 1 diabetes who reports tremors, swea…](https://mymerci.kr/pages/nclex_q.php?qn_id=360524&lang=zh-tw)
- [A 68-year-old client with COPD is admitted with shortness of breath and SpO2 86% on room a…](https://mymerci.kr/pages/nclex_q.php?qn_id=362940&lang=zh-tw)
- [A 58-year-old client arrives at the emergency department with crushing substernal chest pa…](https://mymerci.kr/pages/nclex_q.php?qn_id=362976&lang=zh-tw)
- [A 72-year-old client is brought to the emergency department by family who report that the …](https://mymerci.kr/pages/nclex_q.php?qn_id=363003&lang=zh-tw)
- [A 79-year-old client is admitted from a long-term care facility with diarrhea, decreased o…](https://mymerci.kr/pages/nclex_q.php?qn_id=363089&lang=zh-tw)
- [A 76-year-old female with chronic heart failure and atrial fibrillation receives digoxin 0…](https://mymerci.kr/pages/nclex_q.php?qn_id=374883&lang=zh-tw)
- [A 70-year-old client on long-term digoxin therapy reports new yellow-green halos around li…](https://mymerci.kr/pages/nclex_q.php?qn_id=374884&lang=zh-tw)
- [A 58-year-old client with type 2 diabetes mellitus and migraine prophylaxis is taking prop…](https://mymerci.kr/pages/nclex_q.php?qn_id=374893&lang=zh-tw)

## 以其他語言閱讀

- [en](https://mymerci.kr/pages/nclex_q.php?qn_id=391760&lang=en)
- [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=391760&lang=ko)
- [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=391760&lang=ja)
- [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=391760&lang=zh-tw)
- [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=391760&lang=vi)

---

More free questions: [NCLEX-RN 題庫](https://mymerci.kr/pages/nclex_bank.php?lang=zh-tw)

_僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。_