# 請將兒童靜脈注射阿昔洛韋 (acyclovir) 的安全步驟按正確順序排列。

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=522651&lang=zh-tw  
> language: zh-TW  
> subject: Adverse Effects/Contraindications/Interactions  
> category: PPT

## 題目

請將兒童靜脈注射阿昔洛韋 (acyclovir) 的安全步驟按正確順序排列。

在規定的時間內輸注劑量，而不是快速推注。

將劑量稀釋至處方濃度，並準備控制性靜脈輸注。

在治療期間維持足夠的水合作用並追蹤尿量。

重新評估肌酸酐和神經學發現，如果腎功能惡化，則取得劑量審查。

確認體重、適應症、腎功能、水合狀態和處方劑量間隔。

## 解析

安全使用靜脈注射阿昔洛韋 (acyclovir) 始於病人特定的劑量和腎功能審查，接著是正確稀釋和控制輸注、水合支持，以及連續的腎功能和神經學評估。

## 深入解析

快速解答
透過 確認、稀釋、輸注、補水和再評估 來保護腎臟。

為何這是正確的
快速推注給藥、脫水、腎功能不全和其他腎毒性物質會增加阿昔洛韋在腎小管中沉澱的風險。

簡單類比或心像
使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、穩定病人，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、新生兒或兒童病人免受最直接藥物相關傷害，同時保留經授權治療的措施。

為何其他選項是錯誤的
將危險徵兆正常化、替換未經批准的途徑或劑量，或延遲再評估的選項，會使病人暴露於可預防的傷害中。References
1DailyMed: intravenous acyclovirCrystal nephropathy, infusion rather than bolus administration, adequate hydration, creatinine-clearance adjustment, and neurologic toxicity

## 臨床情境

產婦、新生兒和兒童用藥安全審查
確認病人的年齡或懷孕階段、適應症、體重或實驗室背景、途徑、交互作用療法、禁忌症、照護者衛教和可測量的後續追蹤。

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