# 一位術後接受 IV morphine 的個案難以喚醒且呼吸速率為 7 次/分鐘。護理師應預期給予下列哪種藥物？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397136&lang=zh-tw  
> language: zh-TW  
> subject: Adverse Effects/Contraindications/Interactions  
> category: PPT

## 題目

一位術後接受 IV morphine 的個案難以喚醒且呼吸速率為 7 次/分鐘。護理師應預期給予下列哪種藥物？

## 選項

1. Naloxone。 **✔ 正確答案**
2. Flumazenil。
3. Protamine sulfate。
4. Vitamin K。

**正確答案: 1**

## 解析

Naloxone 可逆轉類鴉片藥物引起的呼吸抑制，當個案使用 morphine 後出現意識程度下降及呼吸緩慢時，應預期使用此藥。Flumazenil 用於逆轉 benzodiazepines，protamine 用於逆轉 heparin，而 vitamin K 則用於逆轉 warfarin 的作用。

## 深入解析

臨床判斷
運用個案線索、時間點、檢驗數據及安全風險，選擇最符合類鴉片藥物呼吸抑制的回應。

記憶提示
將最強的線索群與最安全的護理判斷配對。

KR vs US
NCLEX 考題獎勵基於線索的優先思考，而非單獨的記憶。

## 臨床情境

臨床實務指引
針對類鴉片藥物呼吸抑制，將完整的線索模式與個案當前的穩定性、醫囑數據及預期的護理範圍進行比較。

注意
當完整情境改變了優先順序或安全性時，切勿僅根據單一線索選擇行動。

## 重要概念

- **Naloxone** — 一種用於逆轉類鴉片藥物毒性的類鴉片拮抗劑。
- **呼吸抑制** — 通氣量減少，可能導致低血氧症及二氧化碳滯留。
- **Morphine** — 一種可能抑制呼吸的類鴉片止痛劑。

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