# 一位接受 gentamicin 治療的個案主訴新發生的耳鳴和頭暈。護理師應採取哪項行動？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=394169&lang=zh-tw  
> language: zh-TW  
> subject: Adverse Effects/Contraindications/Interactions  
> category: PPT

## 題目

一位接受 gentamicin 治療的個案主訴新發生的耳鳴和頭暈。護理師應採取哪項行動？

## 選項

1. 告訴個案這是預期中無害的影響。
2. 暫停給藥並通知醫師。 **✔ 正確答案**
3. 將劑量與牛奶一起給予以減少刺激。
4. 鼓勵大聲播放音樂以掩蓋耳鳴。

**正確答案: 2**

## 解析

Gentamicin 是一種 aminoglycoside，與耳毒性和腎毒性有關。新發生的耳鳴或頭暈應立即報告，護理師應根據政策暫停給藥，等待醫師指示。未經評估而繼續用藥可能導致永久性傷害。

## 深入解析

臨床判斷
Aminoglycoside 的耳朵症狀是毒性警訊。

記憶提示
Gentamicin：耳朵和腎臟。

## 臨床情境

臨床實務指引
Aminoglycoside 的監測包括腎功能、醫囑的藥物濃度、聽力變化、平衡症狀及感染反應。

注意
在 aminoglycoside 治療期間，不要忽視耳鳴。

## 重要概念

- **Gentamicin** — 一種 aminoglycoside 類抗生素，用於特定的嚴重感染。
- **耳毒性** — 藥物相關的聽力或平衡結構損傷。
- **耳鳴** — 耳朵裡的鈴聲或嗡嗡聲。

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