# 根據其支持的藥物安全決策，對接受伏立康唑 (voriconazole) 治療的病人的每項發現進行分類。 > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=522756&lang=zh-tw > language: zh-TW > subject: Adverse Effects/Contraindications/Interactions > category: PPT ## 題目 根據其支持的藥物安全決策，對接受伏立康唑 (voriconazole) 治療的病人的每項發現進行分類。 | | 立即升級處理 | 下次給藥前審查途徑或交互作用 | 衛教和監測 | | --- | --- | --- | --- | | 新發暈厥伴 QTc 535 毫秒和鉀 2.9 mEq/L | | | | | 新發黃疸伴轉胺酶迅速升高 | | | | | 肌酸酐清除率 32 mL/min，同時處方靜脈注射劑型 | | | | | 清單上新增強效 CYP3A4 交互作用藥物 | | | | | 給藥後短暫顏色感知改變，無其他神經學發現 | | | | | 計畫進行系列肝功能檢查、電解質、藥物審查和視力評估 | | | | ## 解析 伏立康唑 (voriconazole) 需要審查肝損傷、QT 間期和電解質風險、主要 CYP 交互作用、視覺影響以及腎功能不全時的給藥途徑選擇。短暫的視覺變化應進行衛教和監測，而伴有 QT 間期延長或黃疸的暈厥則需要及時升級處理。 ## 深入解析 快速解答 分類途徑、交互作用、監測和緊急毒性線索。 為何這是正確的 靜脈注射劑型含有增溶劑，在腎臟清除功能受損時會積聚。伏立康唑 (voriconazole) 本身也會影響肝功能、心臟再極化、視力以及交互作用藥物的濃度。 簡單類比或心像 建立藥物安全鏈：識別線索群集，將其與藥物機制連結，停止可預防的暴露，穩定病人，並透過可測量的發現驗證反應。 記憶點 線索群集、藥物機制、保護性行動和可測量的重新評估。 NCLEX 決策規則 選擇能預防最即時藥物相關危害的行動，同時保留對潛在病情的治療。 為何其他選項是錯誤的 依賴單一令人安心的數值、繼續可疑暴露、繞過監測或延遲升級的選項，都會使藥物危害持續存在。References 1DailyMed: VFEND (voriconazole) prescribing informationHepatic monitoring, QT risk, visual effects, interactions, and IV vehicle considerations in renal impairment ## 臨床情境 藥物安全審查 驗證適應症、當前評估、實驗室趨勢、時間、途徑、交互作用、經授權的行動和可測量的後續追蹤。 ## 相同主題題目 - [A client is admitted to the emergency department after ingesting an unknown amount of acet…](https://mymerci.kr/pages/nclex_q.php?qn_id=362720&lang=zh-tw) - [A client with chronic heart failure is prescribed metoprolol 25 mg orally twice daily. Bef…](https://mymerci.kr/pages/nclex_q.php?qn_id=362756&lang=zh-tw) - [A 28-year-old client with type 1 diabetes receives regular insulin 6 units and NPH insulin…](https://mymerci.kr/pages/nclex_q.php?qn_id=362792&lang=zh-tw) - [A client receives IV vancomycin 1 g every 12 hours for MRSA bacteremia. Before the next do…](https://mymerci.kr/pages/nclex_q.php?qn_id=362833&lang=zh-tw) - [A client with bipolar disorder has been taking lithium carbonate 600 mg orally three times…](https://mymerci.kr/pages/nclex_q.php?qn_id=362894&lang=zh-tw) - [A nurse is monitoring a client receiving a continuous IV heparin infusion for pulmonary em…](https://mymerci.kr/pages/nclex_q.php?qn_id=363988&lang=zh-tw) - [A nurse is preparing to initiate a weight-based continuous IV unfractionated heparin infus…](https://mymerci.kr/pages/nclex_q.php?qn_id=364107&lang=zh-tw) - [A nurse is providing discharge teaching to a 65-year-old client newly prescribed warfarin …](https://mymerci.kr/pages/nclex_q.php?qn_id=364872&lang=zh-tw) ## 以其他語言閱讀 - [en](https://mymerci.kr/pages/nclex_q.php?qn_id=522756&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=522756&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=522756&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=522756&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=522756&lang=vi) --- More free questions: [NCLEX-RN 題庫](https://mymerci.kr/pages/nclex_bank.php?lang=zh-tw) _僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。_