# 一位病人使用沙丁胺醇和氟替卡松吸入劑。將每個敘述拖曳至適當的類別。

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=522092&lang=zh-tw  
> language: zh-TW  
> subject: Adverse Effects/Contraindications/Interactions  
> category: PPT

## 題目

一位病人使用沙丁胺醇和氟替卡松吸入劑。將每個敘述拖曳至適當的類別。

**1.** 根據行動計畫，使用沙丁胺醇治療急性喘鳴

Select a category
Unsafe
Appropriate

**2.** 按照處方每日計畫服用氟替卡松

Select a category
Unsafe
Appropriate

**3.** 使用氟替卡松後用清水漱口並吐出

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Unsafe
Appropriate

**4.** 僅使用氟替卡松作為突發嚴重喘鳴的急救藥物

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Unsafe
Appropriate

**5.** 只要症狀短暫改善就停止使用氟替卡松

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Unsafe
Appropriate

**6.** 每次使用氟替卡松後吞下漱口水

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Unsafe
Appropriate

## 解析

沙丁胺醇根據行動計畫用於急性症狀，而氟替卡松是按計畫使用的控制藥物，吸入後需要漱口並吐出。

## 深入解析

快速解答
區分急救治療、控制治療和不安全的替代方案。

為何這是正確的
吸入性皮質類固醇不能替代短效支氣管擴張劑用於急性支氣管痙攣，且漱口可降低局部念珠菌感染的風險。

簡單類比或心像
將用藥安全視為呼吸道檢傷分類：識別威脅、中斷暴露、支持生理功能並確認持久反應。

記憶點
線索、風險、行動、反應、復發檢查。

NCLEX 決策規則
選擇能預防最即時藥物相關危害的行動，同時保留重新評估和升級的空間。

為何其他選項是錯誤的
使惡化正常化、增加相互作用藥物或延遲急救的選項會使安全循環中斷。References
1DailyMed: Fluticasone Propionate HFA控制藥物使用、短效型β-促效劑急救，以及吸入皮質類固醇後漱口

## 臨床情境

用藥安全審查
核實適應症、當前評估、呼吸和神經系統狀態、藥物交互作用、授權的急救措施和可衡量的後續追蹤。

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