# 完成一名 9 歲兒童睡前服用去氨加壓素治療原發性夜間遺尿症的安全計畫。

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=522649&lang=zh-tw  
> language: zh-TW  
> subject: Adverse Effects/Contraindications/Interactions  
> category: PPT

## 題目

完成一名 9 歲兒童睡前服用去氨加壓素治療原發性夜間遺尿症的安全計畫。

從睡前劑量前 ::선택::1 小時4 小時8 小時24 小時 開始盡量減少液體攝入，並持續到早上或至少劑量後 ::선택::2 小時4 小時8 小時16 小時。在反覆嘔吐或腹瀉期間，應 ::선택::加倍保持不變中斷壓碎兩次 藥物並聯繫處方醫師。

## 解析

從服用去氨加壓素前 1 小時開始，直到第二天早上或至少 8 小時內，應盡量減少液體攝入。在嘔吐或腹瀉期間應中斷治療，伴有意識模糊的頭痛可能預示低血鈉症。

## 深入解析

快速解答
預防去氨加壓素相關的水中毒和低血鈉症。

為何這是正確的
去氨加壓素是一種強效抗利尿劑。疾病、高溫、劇烈運動或過度飲水可能將常規使用轉變為危險的自由水滯留。

簡單類比或心像
採用以家庭為中心的用藥安全循環：確認年齡或懷孕狀況、識別暴露和新線索、預防進一步傷害、穩定個案，並確認反應。

記憶點
族群、適應症、劑量或途徑、禁忌症、緊急線索、保護措施和再評估。

NCLEX 決策規則
選擇能保護產婦、新生兒或兒科個案免受最直接藥物相關傷害，同時保留授權治療的措施。

為何其他選項是錯誤的
將危險徵兆正常化、替代未經批准的途徑或劑量，或延遲再評估的選項，會使個案暴露於可預防的傷害中。References
1DailyMed: desmopressin acetate tabletsPediatric fluid restriction, hyponatremia and water intoxication symptoms, and interruption during illness or increased fluid intake

## 臨床情境

產婦、新生兒和兒科用藥安全審查
確認個案的年齡或懷孕階段、適應症、體重或實驗室背景、途徑、相互作用療法、禁忌症、照護者衛教和可衡量的後續追蹤。

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