— 藥理與非經腸給藥 · MEDIUM · MCQ —
下列哪種藥物在給藥前需要兩位護理師進行雙重核對？
Which of the following medications requires a double-check by two nurses before administration?
- AIntravenous insulin✓ 正解靜脈注射胰島素
- BOral paracetamol口服普拿疼
- CSubcutaneous heparin (prophylactic dose)皮下注射肝素（預防劑量）
- DOral antibiotics口服抗生素
— Explanation · 中文詳解 —
高警訊藥物（High-Alert Medications）如胰島素、肝素、化療藥物等，因其治療指數窄且用藥錯誤後果嚴重，必須執行雙人核對。胰島素劑量微小且影響劇烈，屬於必須雙重核對的標準項目。Paracetamol 與口服抗生素並非高警訊分類。
High-alert medications such as insulin, heparin, and chemotherapeutic agents have narrow therapeutic indices, and medication errors carry severe consequences, so two-nurse verification is mandatory. Insulin doses are small but exert profound effects, and insulin is a standard item requiring double-checking. Paracetamol and oral antibiotics are not classified as high-alert medications.
✦ 台美臨床差異
台美對高警訊藥物（High-Alert Meds）的規範皆高度嚴謹，胰島素核對是病人安全目標。