— 藥理與非經腸給藥 · MEDIUM · MCQ —
病人靜脈輸注萬古黴素，出現下列何種情形應立即暫停輸注？
A client is prescribed vancomycin IV. Which assessment finding requires the nurse to pause the infusion immediately?
- AFacial flushing and red rash on the neck✓ 正解面部潮紅與頸部紅疹
- BElevated body temperature體溫升高
- CBurning sensation at the IV site靜脈注射部位有灼熱感
- DMild itching of the hands雙手輕微搔癢
— Explanation · 中文詳解 —
輸注萬古黴素若速度過快，易引起紅人症候群（Red Man Syndrome），表現為臉部、頸部及上半身潮紅或皮疹。護理師應立即停藥、通知醫師，通常重新調整輸注速率後即可緩解。若非過敏反應，無需永久停藥。
An overly rapid infusion of vancomycin can cause Red Man Syndrome, characterized by flushing or rash on the face, neck, and upper trunk. The nurse should immediately pause the infusion and notify the physician; the symptoms usually resolve once the infusion rate is reduced. Because this is not a true allergic reaction, permanent discontinuation of the drug is not necessary.
✦ 台美臨床差異
台美皆強調速率控制，台灣醫囑通常較為嚴謹，必要時需醫師確認後調整速率。