病人獲醫囑開立靜脈推注 (IV Push) 藥物。下列哪項動作是不適當的?
A patient is prescribed an IV push drug. Which action is NOT appropriate?
- AInjecting the drug as fast as possible for immediate effect✓ 正解為求立即效果而盡快注射藥物。
- BVerifying the site for patency before injection注射前確認靜脈通路暢通。
- CEnsuring the correct concentration for push delivery確保推注給藥的正確濃度。
- DChecking the drug's compatibility with IV fluids檢查藥物與靜脈輸液的相容性。
靜脈推注(IV Push)給藥是指將藥物直接注入靜脈輸液管路中。安全給藥的核心原則包括確認管路通暢(Patency)、藥物與現有輸液的相容性,以及嚴格遵守藥物的推注速率。過快推注藥物極易引發嚴重的急性反應,如低血壓、心律不整或靜脈炎。護理師應查閱藥物手冊(Drug Handbook)或臨床指引,確保在建議的時間範圍內完成給藥。
IV push administration refers to injecting medication directly into the intravenous line. The core principles of safe administration include confirming line patency (Patency), compatibility of the medication with existing IV fluids, and strict adherence to the medication's recommended push rate. Pushing a drug too rapidly may readily precipitate severe acute reactions such as hypotension, dysrhythmias, or phlebitis. The nurse should consult the drug handbook or clinical guideline to ensure administration is completed within the recommended time frame.