# 一位攝入大量緩釋型安非他酮的病人清醒但躁動不安且心搏過速。護理師應首先採取哪項措施？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=515770&lang=zh-tw  
> language: zh-TW  
> subject: Adverse Effects/Contraindications/Interactions  
> category: PPT

## 題目

一位攝入大量緩釋型安非他酮的病人清醒但躁動不安且心搏過速。護理師應首先採取哪項措施？

## 選項

1. 開始癲癇預防措施和心電圖監測；聯繫毒物中心。 **✔ 正確答案**
2. 讓病人出院，因為尚未發生癲癇。
3. 給予下一次預定的安非他酮劑量以預防戒斷症狀。
4. 給予氟馬西尼作為安非他酮的特定解毒劑。

**正確答案: 1**

## 解析

緩釋型安非他酮過量可能導致延遲性癲癇、傳導異常、心律不整和心血管衰竭；目前沒有特定的解毒劑。

## 深入解析

快速解答
準備應對延遲性癲癇和心律不整。

為什麼這是正確的
藥品說明書指出，約有三分之一的過量案例會發生癲癇，此外還有傳導障礙、心律不整、心臟衰竭和心跳停止。需要密切監測的支持性照護。

簡單類比或心像
安靜的引信仍可能導致延遲的電風暴。

記憶點
安非他酮過量：監測腦部和心臟。

NCLEX決策規則
不要以目前的清醒狀態來排除延遲性緩釋型藥物毒性。

為什麼其他選項是錯誤的
出院、重新給藥和氟馬西尼都無法解決已知的安非他酮過量模式。參考資料
1DailyMed: Wellbutrin XL過量癲癇、傳導障礙、心律不整和支持性監測

## 臨床情境

延遲毒性監測
監測神經學狀態、心電圖、血流動力學、體溫、血糖、電解質和癲癇活動。

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