— 照護管理 · HARD · MCQ —
護理師準備給予全靜脈營養（TPN），哪項行動最關鍵？
A nurse is preparing to administer TPN (Total Parenteral Nutrition). Which action is essential?
- AWarm the bag to room temperature before hanging在掛袋前將營養液袋加熱至室溫
- BUse gravity to control the infusion rate利用重力控制輸注速率
- CVerify the solution with another nurse using the order✓ 正解根據醫囑與另一位護理師核對溶液
- DAdminister through a peripheral IV line通過周邊靜脈導管給藥
— Explanation · 中文詳解 —
TPN 屬於高滲透壓、成分複雜的營養液，給予錯誤濃度或組成會導致致命的電解質不平衡或高血糖。為了確保病人安全，強制要求雙人核對（Double-check）醫囑與營養液標籤是標準程序。TPN 必須透過中央靜脈通路（CVC）給予，且需使用輸液幫浦確保速率穩定。
TPN is a hyperosmolar, complex nutritional solution; an incorrect concentration or composition can cause life-threatening electrolyte imbalance or hyperglycemia. To ensure patient safety, a mandatory two-person verification (double-check) of the order and label is the standard procedure. TPN must be administered via a central venous catheter (CVC), and an infusion pump must be used to maintain a steady rate.
✦ 台美臨床差異
兩地均嚴格執行雙人核對；美國多要求具備護理執照者核對，台灣部分醫院要求醫師或護理師共同執行。