護理師照護一位正接受靜脈注射萬古黴素(Vancomycin)的病人。下列哪些發現屬於「紅人症候群」?(選所有適合的)
A nurse is caring for a client receiving intravenous vancomycin. Which findings should the nurse recognize as 'Red Man Syndrome'? (Select all that apply.)
- AHypotension✓ 正解低血壓
- BFlushing of the face and neck✓ 正解面部與頸部潮紅
- CPruritus✓ 正解皮膚搔癢
- DUrticaria and anaphylaxis蕁麻疹與過敏性休克
- ETachycardia✓ 正解心跳過速
紅人症候群(Red Man Syndrome)是萬古黴素給藥速度過快導致的組織胺釋放反應。常見表現包括上半身(臉、頸、胸)潮紅、低血壓、心跳過速以及劇烈搔癢。此為類過敏反應,而非真正的過敏反應(如蕁麻疹、呼吸困難等),通常透過減慢輸注速度或增加稀釋液量即可緩解。
Red man syndrome is a histamine-release reaction caused by rapid infusion of vancomycin. Common manifestations include flushing of the upper body (face, neck, chest), hypotension, tachycardia, and intense pruritus. This is an anaphylactoid (pseudoallergic) reaction rather than a true allergic reaction (such as urticaria, respiratory distress, etc.) and can usually be relieved by slowing the infusion rate or increasing the volume of diluent.
台美醫療團隊處理此情況皆遵循先減速、後評估過敏史的指引。