— 降低風險 · HARD · MCQ —
護理師準備對一位正在接受連續腸道營養灌食的病人，經由鼻胃管給藥。護理師應執行哪項動作？
A nurse is preparing to administer medication via an NG tube to a client on continuous enteral feeding. Which action should the nurse take?
- ACrush enteric-coated tablets for easier administration將腸衣錠磨碎以便給藥
- BStop the feeding for 4 hours before giving the medication給藥前停止灌食4小時
- CMix the medication with the enteral feeding formula將藥物與腸道營養配方混合
- DFlush the tube with 15–30 mL of water before and after medication✓ 正解給藥前後以15–30 mL水沖洗管路
— Explanation · 中文詳解 —
為了確保藥物順利到達胃部且不會阻塞管路，給藥前後沖洗鼻胃管是標準程序（通常為 15-30 mL 水）。不可將藥物混入營養液中以免發生交互作用，腸衣錠（enteric-coated）與緩釋劑型（sustained-release）絕對不可磨碎。
To ensure that medication reaches the stomach and to prevent tube occlusion, flushing the NG tube before and after medication administration (typically with 15-30 mL of water) is the standard procedure. Medications should not be mixed directly into the enteral feeding formula because of potential drug-nutrient interactions, and enteric-coated and sustained-release dosage forms must never be crushed.
✦ 台美臨床差異
美國護理師常與 Clinical Pharmacist 合作確認藥物與營養管灌的相容性；台灣護理師則較多直接執行單位制定的給藥流程。