病人正在靜脈滴注氯化鉀，護理師發現注射部位有滲漏現象，第一步應採取什麼行動？
A client is receiving an intravenous infusion of potassium chloride. The nurse observes infiltration at the IV site. Which action should the nurse take first?
- AFlush the IV line with normal saline以生理食鹽水沖洗靜脈導管
- BStop the infusion immediately✓ 正解立即停止輸液
- CNotify the physician通知醫師
- DApply a warm compress to the site在注射部位敷熱敷
氯化鉀具有高刺激性，若發生滲漏會引起組織壞死或嚴重刺激。護理實務的首要任務是停止藥物進入受損組織，以防止進一步的化學性灼傷。停止滴注後，才能評估部位、移除管路並視情況處理或通知醫師，切忌沖刷導管以免藥物進一步擴散至周邊組織。
Potassium chloride is highly irritating to tissue; if extravasation occurs, it can cause tissue necrosis or severe irritation. The first priority in nursing practice is to stop the medication from continuing to enter the injured tissue, in order to prevent further chemical burns. Only after the infusion has been stopped can the site be assessed, the line removed, and further management or physician notification arranged, as appropriate. The line must never be flushed, as this would push the drug further into the surrounding tissue.
台美臨床皆嚴格禁止在發生明顯滲漏時沖刷導管，且處理流程皆以病人安全為優先。