— 安全與感染控制 · MEDIUM · SATA —
給予 IV 抗生素前，哪些護理措施是必要的？（選所有適合的）
Which nursing actions are essential before initiating an IV antibiotic? (Select all that apply.)
- AFlush the IV catheter with the prepared antibiotic to confirm patency使用已配製的抗生素沖洗靜脈導管以確認通暢
- BVerify the order✓ 正解確認醫囑
- CObtain vital signs✓ 正解測量生命徵象
- DAdminister the first dose before collecting ordered blood cultures在採集已開立的血液培養檢體前先給予第一劑抗生素
- ECheck the client's allergy history✓ 正解檢查病人的過敏史
— Explanation · 中文詳解 —
開始 IV 抗生素前，護理師應核對完整醫囑、取得生命徵象基線並確認過敏史。若有已開立的培養檢查，病況允許時應先採檢，但不可不當延誤急需的抗生素治療。靜脈導管的通暢性應使用相容沖洗液確認，而非直接以抗生素測試。
Before administering any medication, the nurse should perform a complete safety check: confirm the allergy history (to prevent anaphylactic shock), obtain vital signs (as a baseline to monitor the response), and verify the order (to ensure the correct medication and dose). All three are indispensable and together form essential links in the chain of safe medication administration.
✦ 台美臨床差異
美台在給藥流程的安全性要求高度同步，均嚴格執行五對原則。