# 一名預定明天進行手術的病人說：「我今早像往常一樣服用了我的 warfarin。」護理師的優先處置為何？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=394155&lang=zh-tw  
> language: zh-TW  
> subject: Postsurgical Complications  
> category: ROR

## 題目

一名預定明天進行手術的病人說：「我今早像往常一樣服用了我的 warfarin。」護理師的優先處置為何？

## 選項

1. 在手術前通知外科醫師或主治醫師。 **✔ 正確答案**
2. 告訴病人今晚服用額外一劑。
3. 僅在手術完成後記錄此發現。
4. 向病人保證 warfarin 不會影響手術。

**正確答案: 1**

## 解析

warfarin 會增加出血風險，必須在手術前通報，以便團隊評估凝血狀態和手術安全性。額外給藥是不安全的。在侵入性手術前，僅有記錄是不夠的。

## 深入解析

臨床判斷
術前用藥史可能改變手術安全性。

記憶提示
術前服用 warfarin：在劃刀前通報。

## 臨床情境

臨床實務指引
術前評估包括抗凝血劑使用、出血史、檢驗數值、過敏史和用藥整合。

注意
勿假設手術團隊已經知道病人近期服用過抗凝血劑。

## 重要概念

- **Warfarin** — 一種會增加出血風險的口服抗凝血劑。
- **用藥整合 (Medication Reconciliation)** — 核對目前的用藥和近期劑量。
- **出血風險 (Bleeding Risk)** — 發生過度或無法控制出血的可能性。

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