— 藥理與非經腸給藥 · MEDIUM · MCQ —
一位病人正接受靜脈注射萬古黴素，輸注後不久出現頸部與臉部潮紅。護理師應採取何種處置？
A client is prescribed intravenous vancomycin. The nurse observes the client developing flushing of the neck and face shortly after the infusion starts. What is the appropriate nursing intervention?
- ASlow down the infusion rate✓ 正解減慢輸注速度
- BNotify the physician通知醫師
- CStop the infusion immediately立即停止輸注
- DAdminister an antihistamine給予抗組織胺藥物
— Explanation · 中文詳解 —
此為典型的「紅人症候群」（Red Man Syndrome），是因為萬古黴素輸注速度過快引發組織胺釋放所致，並非過敏反應。處理原則是先減慢輸注速度或暫停，待症狀改善後再以較慢速度繼續輸注，無需直接永久停藥或給予抗組織胺。
This is a classic presentation of Red Man Syndrome, caused by histamine release secondary to overly rapid vancomycin infusion rather than by a true allergic reaction. The standard approach is to slow or temporarily stop the infusion, and resume at a slower rate once symptoms improve; permanent discontinuation of the drug or administration of antihistamines is not required as a first step.
✦ 台美臨床差異
美台臨床皆視此為藥物特性而非過敏，護理師通常依 Protocol 調慢流速。