問題詳情

55.下列有關EMLA(Eutectic Mixture of a Local Anesthetic)軟膏之敘述,何者錯誤?
(A)含2.5% lidocaine及2.5% prilocaine
(B)適用於表皮
(C)適用於黏膜
(D)可能產生變性血紅蛋白血症(methemoglobinemia)之毒性

參考答案

答案:C
難度:非常困難0.0833333
統計:A(2),B(3),C(1),D(6),E(0)

用户評論

Tabitha】評論

Foye's 7E p.471 含有prilocaine的EMLA乳膏不建議用在黏膜,因為藥物經黏膜吸收快,可能會增加全身性毒性(例如:變性血紅素血症)的風險。 原文摘錄:...The use of EMLA creams, especially those containing prilocaine, on mucous membranes is not recommended, however, because of the faster absorption of the drugs and, therefore, the increasing risk of systemic toxicity, such as methemoglobinemia, specifically with prilocaine.

王瑞賢】評論

Foye's 7 th p.528 Eutectic Mixture of a Local Anesthetic (EMLA) cream (1)containing 2.5% lidocaine and 2.5% prilocaine (or etidocaine) →(A)對(2)is used for the topical application of local anesthetic (dermal or epidermal analgesia).  (3) those containing prilocaine, on mucous membranes is not recommended→(B)對(C)錯(4)the increasing risk of  methemoglobinemia, specifically with prilocaine →(D)對

如果詳解被鎖找 北醫王瑞賢】評論

Foye's 7 th p.528 Eutectic Mixture of a Local Anesthetic (EMLA) cream (1)containing 2.5% lidocaine and 2.5% prilocaine (or etidocaine) →(A)對(2)is used for the topical application of local anesthetic (dermal or epidermal analgesia).  (3) those containing prilocaine, on mucous membranes is not recommended→(B)對(C)錯(4)the increasing risk of  methemoglobinemia, specifically with prilocaine →(D)對

戴淑娟】評論

<猜題法一眼看過去,A和D感覺很合理,所以B和C猜一個,而局麻用藥幾乎都可適用表面麻醉(Procaine例外),所以猜黏膜不行