# 哪項處方與口服磷黴素氨丁三醇（fosfomycin tromethamine）的標示用途一致？

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> url: https://mymerci.kr/pages/nclex_q.php?qn_id=516670&lang=zh-tw  
> language: zh-TW  
> subject: Adverse Effects/Contraindications/Interactions  
> category: PPT

## 題目

哪項處方與口服磷黴素氨丁三醇（fosfomycin tromethamine）的標示用途一致？

## 選項

1. 一包溶於水中，用於患有易感性非複雜性急性膀胱炎的成年女性。 **✔ 正確答案**
2. 每天早上吞服一包乾燥藥粉，持續 7 天，以治療發燒、腰痛和疑似腎盂腎炎。
3. 透過靜脈輸注給予口服顆粒，以治療腎周膿腫和全身性泌尿道感染。
4. 每 6 小時重複一包，作為發熱性上泌尿道感染的經驗性治療。

**正確答案: 1**

## 解析

口服磷黴素氨丁三醇（fosfomycin tromethamine）標示為一包溶於水中，用於成年女性因易感性微生物引起的非複雜性急性膀胱炎；它不適用於腎盂腎炎或腎周膿腫。

## 深入解析

快速解答
將磷黴素與 非複雜性下泌尿道感染 相匹配。

為何這是正確的
該產品需與水混合，並立即服用一包。發燒、腰痛或上泌尿道感染需要不同的評估和治療計畫。

簡單類比或心像
下泌尿道感染的鑰匙打不開腎臟感染的門。

記憶點
磷黴素藥包：非複雜性膀胱炎，而非腎盂腎炎。

NCLEX 決策規則
給藥前核實部位、嚴重程度、敏感性、劑型、製備方式和劑量次數。

為何其他選項是錯誤的
乾吞、靜脈注射使用以及重複的經驗性給藥並非該產品所描述的標示方案。References
1DailyMed: Fosfomycin TromethamineSingle-sachet treatment of uncomplicated acute cystitis in women and nonindication for pyelonephritis

## 臨床情境

磷黴素檢查
確認下泌尿道症狀、無全身性或腰部發現、培養結果、過敏史、水中製備方式和單劑量衛教。

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