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降低風險 · MEDIUM · SATA

護理師準備為低血鉀病人靜脈輸注氯化鉀,下列哪些措施是必要的?(選所有適合的)

A nurse is preparing to administer potassium chloride IV to a client with hypokalemia. Which actions are necessary? (Select all that apply.)

  • ADilute the medication as per facility protocol✓ 正解
    依機構規定稀釋藥物
  • BAdminister via an infusion pump to control rate✓ 正解
    經輸注幫浦給藥以控制速度
  • CCheck for patency of the IV site before infusion✓ 正解
    給藥前檢查靜脈通路是否暢通
  • DAdminister as an IV bolus to correct levels quickly
    經靜脈推注以快速糾正血鉀
  • EMonitor the site for signs of phlebitis✓ 正解
    監測注射部位是否有靜脈炎跡象
Explanation · 中文詳解

鉀離子(Potassium)對血管具有強烈刺激性。靜脈輸注氯化鉀(KCl)必須嚴格遵守給藥原則:必須稀釋,且絕對禁止靜脈推注(IV Push/Bolus),以免導致高血鉀引發心律不整甚至心跳停止。護理師需使用輸注幫浦(Infusion pump)精準控制速度,並密切監測輸注部位是否有靜脈炎或外滲跡象。

Potassium is highly irritating to blood vessels. Intravenous infusion of potassium chloride (KCl) must strictly follow administration principles: it must be diluted, and IV push/bolus is absolutely contraindicated to prevent hyperkalemia-induced arrhythmias or cardiac arrest. The nurse must use an infusion pump to precisely control the rate and closely monitor the infusion site for signs of phlebitis or extravasation.

✦ 台美臨床差異

在美國,氯化鉀輸注通常使用預混袋(Premixed bag),護理師需嚴格遵守「鉀離子不可 IV Push」的鐵律。若發生外滲,護理師需依照機構政策進行相應的處理與紀錄。

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