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生理適應 · EASY · MCQ

準備輸血前,必須執行的行動為何?

A nurse is preparing to administer a blood transfusion. Which action is required before initiation?

  • AVerify the blood type with another nurse✓ 正解
    與另一位護理師共同核對血型
  • BPerform a physical exam
    進行身體檢查
  • CStart the transfusion immediately upon delivery
    送達後立即開始輸血
  • DWarm the blood to room temperature
    將血液加溫至室溫
Explanation · 中文詳解

輸血屬於高風險醫療處置,最嚴重的併發症為溶血性輸血反應(Hemolytic transfusion reaction),通常由人為辨識錯誤(如輸錯血型)引起。為符合國家病人安全目標(National Patient Safety Goals),輸血前必須進行嚴格的雙人核對(Double-check),確認病人身分與血液袋資訊一致。

Blood transfusion is a high-risk procedure, with hemolytic transfusion reaction being the most serious complication; this is usually caused by human identification error such as transfusing the wrong blood type. To meet National Patient Safety Goals, rigorous double-check verification must occur before transfusion to confirm that the patient's identity and the blood unit information match.

✦ 台美臨床差異

美國醫院規定極為嚴格,通常要求兩名護理師在床邊共同核對(Bedside verification),並使用條碼掃描系統(BCMA)輔助。台灣同樣要求雙人核對,但部分單位在資源限制下執行強度與電子化程度略有不同。

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