# 完成開始使用etelcalcetide的血液透析病人的用藥安全計畫。

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=522761&lang=zh-tw  
> language: zh-TW  
> subject: Adverse Effects/Contraindications/Interactions  
> category: PPT

## 題目

完成開始使用etelcalcetide的血液透析病人的用藥安全計畫。

在開始使用etelcalcetide之前，至少停用cinacalcet ::선택::13730 天。在血液不再流經透析器後，於血液透析 ::선택::之前期間之後取代 給予etelcalcetide，並在開始使用或劑量改變後 ::선택::1 週僅 1 個月6 個月1 年 內檢查校正後的鈣。

## 解析

Cinacalcet至少停用 7 天，etelcalcetide在血液不再流經透析器後給予，開始使用或調整劑量後 1 週內檢查鈣，有症狀或嚴重低血鈣需要停藥並治療。

## 深入解析

快速解答
連結 轉換間隔、透析後給藥途徑和鈣安全閾值。

為什麼這是正確的
Etelcalcetide會被透析器移除並降低血清鈣。鈣敏感受體促效劑重疊使用或在透析完成前給藥會增加可預防的風險。

簡單類比或心像
建立用藥安全鏈：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，並透過可測量的結果驗證反應。

記憶點
線索群集、藥物機制、保護性措施和可測量的再評估。

NCLEX決策規則
選擇能預防最直接的藥物相關危害，同時保留對潛在疾病治療的措施。

為什麼其他選項是錯誤的
依賴單一令人安心的數值、繼續可疑的暴露、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: PARSABIV (etelcalcetide) prescribing information透析後給藥、cinacalcet 7 天清除期、鈣監測和低血鈣管理

## 臨床情境

用藥安全審查
核實適應症、當前評估、實驗室趨勢、時間、途徑、交互作用、授權措施和可測量的後續追蹤。

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