20.王太太的醫師為她開立terazosin,其適應症最可能為何?
(A)攝護腺肥大
(B)心悸
(C)高血壓
(D)頻尿

答案:登入後查看
統計: A(477), B(87), C(4661), D(501), E(0) #1837598

詳解 (共 8 筆)

#3101868

alpha 1 blocker:

terazosin、prazosin、doxazosin >> 用在BPH+HTN

tamsulosin、sidosin >> 用在BPH 

但是太太不會有BPH ^_^ 

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#3479841

這題後勁真TMD有夠強......

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#2933616
terazosin(HYTRIN):se...
(共 296 字,隱藏中)
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#4875391
Hmmmmmm
雖然女性沒有攝護腺,不過alpha blocker也時候考慮用在女性排尿困難的情況

For women with DV (Dysfunctional voiding) who do not have an adequate response to pelvic floor muscle training, we offer a trial of alpha-adrenergic blocker therapy. While small studies and trials have reported improvement in women with DV [96-98], a systematic review of 15 studies reported the treatment benefit was unclear because the studies were limited by small sample size, inconsistent study designs, and short duration of follow-up [99]. However, as DV symptoms can significantly impair quality of life and alpha-adrenergic blocker medications are generally tolerated, we offer this treatment. We use selective alpha-1a blockers, typically 0.4 mg tamsulosin taken orally once daily. Side effects are rare but can include dizziness and rhinitis
uptodate - chronic urinary retention in women

Tamsulosin為alpha-1 adrenergic blocker,能夠使張力過度的攝護腺鬆弛,使排尿順暢,雖女性無攝護腺,但alpha-1受體也存在於膀胱頸部位,對於子宮脫垂或因手術等原因造成泌尿道症狀失常的女性,亦有減低尿道內部壓力使排尿順暢之作用,且美國婦產科醫師學會(ACOG)、美國泌尿外科學會(AUA)、歐洲泌尿道學會(EAU)等醫學會皆建議使用tamsulosin等藥物可用於女性之下泌尿道症狀。
https://www.taiwan-pharma.org.tw/weekly/2075/2075-3-5.htm
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#2933236
注意!題目是王太太為女性!當然沒有攝護腺...
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#4167679

In a LGBTQ-friendly society, can we still assume 王太太 is female?

...How dare you assume my gender!

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#4844242
搞不好人家生理性別男心理性別女阿
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#5551042

Ref;北醫共筆
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私人筆記 (共 1 筆)

私人筆記#2260882
未解鎖
Tamsulosin為alpha-1 a...
(共 220 字,隱藏中)
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