# 一位家長詢問是否可以將黏稠性利多卡因塗抹在 10 個月大嬰兒的牙齦上以緩解出牙疼痛。哪項回應是最好的？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=522654&lang=zh-tw  
> language: zh-TW  
> subject: Adverse Effects/Contraindications/Interactions  
> category: PPT

## 題目

一位家長詢問是否可以將黏稠性利多卡因塗抹在 10 個月大嬰兒的牙齦上以緩解出牙疼痛。哪項回應是最好的？

## 選項

1. 每當嬰兒哭泣時，使用家用湯匙塗抹大量藥物。
2. 將黏稠性利多卡因加入每個奶瓶中，以便在餵食期間牙齦保持麻木。
3. 在睡前塗抹藥物，因為吞嚥會減少全身性吸收。
4. 避免使用黏稠性利多卡因來緩解出牙疼痛；應在監督下使用非藥物舒適措施並尋求指導。 **✔ 正確答案**

**正確答案: 4**

## 解析

黏稠性利多卡因不應用於嬰幼兒出牙疼痛，因為吞嚥或過度接觸可能導致癲癇發作、心肺驟停、嚴重腦損傷和死亡。

## 深入解析

快速回答
請勿將黏稠性利多卡因用於嬰兒出牙護理。

為什麼這是正確的
局部麻木也會損害保護性口腔感覺。更安全的方法包括輕柔的牙齦按摩以及在監督下使用堅固、非冷凍的固齒器。

簡單類比或心像
使用以家庭為中心的藥物安全循環：確認年齡或懷孕情況、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。

為什麼其他選項是錯誤的
將危險訊號正常化、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。References
1DailyMed: lidocaine viscous 2%Seizures, cardiopulmonary arrest, and death in children younger than 3 years and avoidance for teething pain

## 臨床情境

產婦、新生兒和兒科藥物安全審查
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、照護者衛教和可測量的後續追蹤。

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