# 一位患有子宮弛緩的產後個案有慢性高血壓和氣喘。對於每項藥物醫囑，請根據處方資訊指出其特定疾病的追蹤事項。每列僅適用於一欄。

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=513815&lang=zh-tw  
> language: zh-TW  
> subject: Adverse Effects/Contraindications/Interactions  
> category: PPT

## 題目

一位患有子宮弛緩的產後個案有慢性高血壓和氣喘。對於每項藥物醫囑，請根據處方資訊指出其特定疾病的追蹤事項。每列僅適用於一欄。

|  | 因高血壓而追蹤 | 因氣喘而追蹤 | 這兩種特定疾病警示皆非 |
| --- | --- | --- | --- |
| 甲基麥角新鹼 0.2 mg 肌肉注射 |  |  |  |
| 卡前列素 250 mcg 肌肉注射 |  |  |  |
| 催產素靜脈輸注依計畫 |  |  |  |

## 解析

甲基麥角新鹼（Methylergonovine）禁用於高血壓。卡前列素（Carboprost）應謹慎用於有氣喘病史的個案。這兩種特定疾病的警示都不是質疑催產素醫囑的原因。

## 深入解析

快速解答
將甲基麥角新鹼與 高血壓 連結，卡前列素與 氣喘 連結，而催產素則與這兩種特定警示皆無關。

為何這是正確的
甲基麥角新鹼的標示將高血壓列為禁忌症。卡前列素的標示建議氣喘患者謹慎使用。催產素的標示並未將慢性高血壓或氣喘列為此矩陣中所示的特定禁忌症；完整的醫囑和個案監測仍然適用。

簡單類比或心像
在藥物架上使用兩個紅旗：一個旗子寫著甲基麥角新鹼的血壓，另一個寫著卡前列素的呼吸道。

記憶點
甲基麥角新鹼：高血壓。卡前列素：氣喘。

NCLEX 決策規則
在給藥前，將個案的共病症與藥物的標示禁忌症或注意事項進行匹配。選擇沒有列出的特定疾病問題並不意味著不需要監測。

為何其他選項是錯誤的
高血壓並非此項目中卡前列素的特定疾病警示，氣喘也不是甲基麥角新鹼的列出禁忌症。催產素仍需要適當的適應症、途徑、劑量和監測。References
1DailyMed: MethylergonovineHypertension contraindication
2DailyMed: Carboprost TromethamineCaution with a history of asthma
3DailyMed: Oxytocin InjectionLabeled contraindications and monitored administration

## 臨床情境

產後醫囑檢查
在給藥前，將每項子宮收縮劑醫囑與血壓病史、呼吸病史、途徑以及目前的出血處置計畫進行比較。

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