# 針對每個胺碘酮輸注發現，判斷最合適的解釋。

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=513954&lang=zh-tw  
> language: zh-TW  
> subject: Adverse Effects/Contraindications/Interactions  
> category: PPT

## 題目

針對每個胺碘酮輸注發現，判斷最合適的解釋。

|  | 設備或管路需要修正 | 不良生理反應 | 合適的設置 |
| --- | --- | --- | --- |
| 胺碘酮連接時沒有管路內過濾器 |  |  |  |
| 計畫透過小周邊靜脈輸注 3.5 mg/mL 的輸注液 |  |  |  |
| 血壓從 112/68 降至 78/42 mm Hg |  |  |  |
| 心率從 86 次/分降至 42 次/分 |  |  |  |
| 正在使用專用中央管腔和管路內過濾器 |  |  |  |

## 解析

缺少過濾器和濃縮的周邊輸注需要修正設置。低血壓和心搏過緩是不良反應，而帶有過濾器的專用中央管路是合適的設置。

## 深入解析

快速解答
修正不安全的管路和過濾器設置，並將低血壓或心搏過緩視為不良反應。

為何這是正確的
藥品標示建議盡可能使用專用中央靜脈導管和管路內過濾器。濃度高於 3 mg/mL 的輸注液會導致周邊靜脈炎發生率高，而低血壓和心搏過緩可能需要降低輸注速率或停藥。

簡單類比或心像
檢查道路和旅客：即使在病人狀況不穩定之前，管路設置也可能不安全。

記憶點
胺碘酮：盡可能中央管路，務必使用過濾器，監測血壓和脈搏。

NCLEX 決策規則
將設備/管路缺陷與生理不耐受分開處理，以便及時糾正兩者。

為何其他選項是錯誤的
良好的管路設置不能解釋低血壓，穩定的生命徵象也不能使缺少過濾器變得可接受。References
1DailyMed: Amiodarone Hydrochloride Injection中央管路、管路內過濾器、靜脈炎、低血壓和心搏過緩

## 臨床情境

胺碘酮輸注檢查
審查濃度、管路類型、專用管腔、過濾器、輸注速率、血壓、心率和注射部位發現。

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