32.造口（ostomy）之術後照護及相關醫材供應是藥事服務之領域。藥師對具ileostomy或 colostomy病人提供用藥建議或諮詢，下列何者錯誤？
(A)應儘量避免enteric coated製劑
(B)使用esomeprazole者易腹瀉，應留意監測電解質變化
(C)術後如需續用fexofenadine immediate release tablet，可依原劑量使用
(D)使用bismuth製劑，造口袋內容物易呈現橘紅色

(D)使用bismuth製劑，造口袋內容物易呈現黑色

General Principles

In order to minimize problems with drug absorption, follow these general principles. For the ileostomy patient, dosage forms with quick dissolution (dissolving tablets) and absorption should be used. Liquids, gelatine capsules, and uncoated tablets are usually better and well absorbed. Dosage forms such as enteric coated and sustained release products should be avoided due to the possibility of poor absorption. Enteric coating is designed to prevent stomach lining irritation from direct contact with certain drugs, such as aspirin. Sustained release products are designed so that a small, sustained amount of medication is released along the small intestine over time.

http://www.badgut.org/information-centre/a-z-digestive-topics/drug-therapy-and-the-compromised-bowel/

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ileostomy 迴腸造口

colostomy 大腸造口