# 護理師教導新開立fluticasone/salmeterol combination DPI BID的病人。哪一句話表示正確理解此吸入器的角色？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=391776&lang=zh-tw  
> language: zh-TW  
> subject: Medical Emergencies  
> category: PA

## 題目

護理師教導新開立fluticasone/salmeterol combination DPI BID的病人。哪一句話表示正確理解此吸入器的角色？

## 選項

1. 「我會每4小時交替使用這個吸入器和albuterol。」
2. 「我會每天兩次使用這個吸入器來控制病情，突然有症狀時繼續用albuterol。」 **✔ 正確答案**
3. 「只要我覺得喘，就會用這個吸入器。」
4. 「這個複方比較強，所以我會停用albuterol。」

**正確答案: 2**

## 解析

正解 (2): Fluticasone/salmeterol是固定時程BID使用的控制藥；ICS降低發炎，LABA提供持續支氣管擴張。Albuterol（SABA）仍是急性症狀的急救藥。(1) 不是急救藥。(3) 交替使用會過度使用LABA。(4) 突發症狀仍需albuterol。

## 深入解析

Memory Tip Controller vs Rescue: ICS/LABA = 每日定期；SABA = 症狀時PRN。CPG 某些含formoterol的複方可用於SMART therapy，但salmeterol起效慢，不能這樣使用。

## 臨床情境

Scenario 41歲女性，持續性氣喘，開始fluticasone/salmeterol DPI BID。Albuterol MDI繼續作為急救藥。

## 重要概念

- **控制藥** — 每日定期使用的氣喘藥，如ICS、ICS/LABA、LTRA，用於控制發炎。
- **急救藥** — 急性症狀緩解用PRN支氣管擴張劑，如albuterol SABA。
- **SMART therapy** — 使用budesonide/formoterol同時作為維持與緩解治療的Single Maintenance And Reliever Therapy。

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