— 藥理與非經腸給藥 · EASY · MCQ —
病人正在輸注萬古黴素 (Vancomycin)。護理師發現病人臉部、頸部及上半身發紅且搔癢。護理師的首要行動為何？
A client is receiving an infusion of vancomycin. The nurse notices the client's face, neck, and upper torso are flushing and itching. What is the nurse's priority action?
- AObtain vital signs測量生命徵象
- BAdminister an antihistamine給予抗組織胺
- CDiscontinue the infusion immediately立即停止輸注
- DSlow the rate of the infusion✓ 正解減慢輸注速率
— Explanation · 中文詳解 —
此現象為紅人症候群 (Red Man Syndrome)，常見於萬古黴素輸注過快引起的組織胺釋放。減慢輸注速度通常可緩解症狀。若嚴重時（如低血壓）才考慮停止，若僅是紅斑與搔癢，減慢速度是最精確的處置。
This phenomenon is Red Man Syndrome, commonly caused by histamine release from too-rapid vancomycin infusion. Slowing the infusion rate usually relieves the symptoms. Discontinuation should be considered only when severe symptoms (e.g., hypotension) develop; for isolated flushing and pruritus, slowing the rate is the most precise intervention.
✦ 台美臨床差異
美台皆將紅人症候群視為劑量反應，減慢輸注速度為標準醫護共識。