— 降低風險 · MEDIUM · MCQ —
護理師準備為病人靜脈輸注氯化鉀（KCl）。下列哪項措施對確保病人安全至關重要？
A nurse is preparing to administer IV potassium chloride to a client. Which action is essential to ensure client safety?
- AAdminister the medication without cardiac monitoring在心電圖監測下給予藥物
- BInfuse the medication over 15 minutes在 15 分鐘內輸注藥物
- CAdminister the medication via IV push經靜脈推注給予藥物
- DVerify the medication is diluted before infusion✓ 正解確認藥物在輸注前已稀釋
— Explanation · 中文詳解 —
氯化鉀具有高警訊藥物（High-Alert Medication）性質，絕對禁止直接靜脈推注（IV Push），否則會導致心律不整甚至心搏停止。必須在給藥前確認藥物已適度稀釋，並透過輸液幫浦以嚴格控制滴速。
Potassium chloride is a high-alert medication, and direct IV push is absolutely contraindicated because it can cause cardiac arrhythmias or even cardiac arrest. The medication must be appropriately diluted before administration and infused via an infusion pump to strictly control the rate.
✦ 台美臨床差異
台美皆將 KCl 列為高警訊藥物，皆需雙人核對與幫浦輸注。