5. 一位 48 歲女性，診斷有 high grade lymphoma，預定接
受 cytotoxic chemotherapy。病人目前的 serum creatinine
level 是 2.1 mg/d。為了預防發生 tumor lysis syndrome
及腎臟惡化，下列處置，何者最適宜?
(A) Give allopurinol or febuxostat, if not contraindicated,
for preventing hyperuricemia
(B) Give acetylcysteine for preventing acute kidney injury
(C) Give large amount of 5% glucose water solution for
volume expansion
(D) Give 1,25-activated Vitamin D3 for preventing
hyperphosphatemia
(E) Arrange dialysis immediately after chemotherapy for
preventing occurrence of chronic interstitial nephritis
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