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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統計: A(52), B(1), C(6), D(4), E(1) #1967615
統計: A(52), B(1), C(6), D(4), E(1) #1967615