— 降低風險 · MEDIUM · MCQ —
護理師準備給予病人靜脈注射 20 mEq 的氯化鉀。哪項護理介入最重要？
A nurse is preparing to administer potassium chloride 20 mEq IV piggyback to a client. What is the most important nursing intervention?
- AAdminister the dose over at least 1 hour至少在一小時內給藥
- BEnsure the medication is administered via an infusion pump✓ 正解確保透過輸液幫浦給藥
- CAssess the client's current potassium serum level評估客戶當前的血清鉀濃度
- DCheck the patency of the intravenous site檢查靜脈通路的通暢性
— Explanation · 中文詳解 —
氯化鉀屬於高警訊藥物（High-Alert Medication），靜脈輸注過快會引發致命性心律不整。使用輸液幫浦（Infusion Pump）是防止輸注過快最有效的物理安全屏障，確保藥物劑量與速率精確控管。
Potassium chloride is a high-alert medication, and excessively rapid IV infusion can trigger fatal arrhythmias. Using an infusion pump is the most effective physical safety barrier to prevent overly rapid administration, ensuring precise control of dose and rate.
✦ 台美臨床差異
美台皆將鉀離子列為高警訊藥物，皆強制規定需使用輸液幫浦。