— 藥理與非經腸給藥 · MEDIUM · MCQ —
出現下列哪項徵象時，應立即停止萬古黴素（Vancomycin）的輸注？
Which of the following findings would indicate that the administration of IV Vancomycin needs to be stopped immediately?
- APain at the IV insertion site靜脈注射部位疼痛
- BThe client reports a mild metallic taste病人報告有輕微的金屬味
- CDecrease in blood pressure to 90/60 mmHg✓ 正解血壓降至90/60 mmHg
- DRedness of the face and neck臉部與頸部紅腫
— Explanation · 中文詳解 —
選項 D 是紅人症候群（Red Man Syndrome），通常是因輸注過快引起的組織胺釋放，雖需減慢速度但未必需立即停止。選項 C 低血壓顯示出現嚴重的過敏反應或過敏性休克，這是致命的，必須立即停止輸注並啟動緊急救援程序。
Option D describes Red Man Syndrome, which is usually caused by rapid infusion leading to histamine release; the rate should be slowed, but the infusion does not necessarily need to be stopped. Option C (hypotension) indicates a severe allergic reaction or anaphylactic shock—a life-threatening event requiring immediate cessation of the infusion and activation of emergency response.
✦ 台美臨床差異
無差異。紅人症與過敏休克的鑑別診斷是美台護理臨床共同的關鍵評估技巧。