護理師為鼻胃管病人投藥,哪些措施是正確的?(選所有適合的)
A nurse is administering multiple medications to a client with a nasogastric (NG) tube. Which interventions are appropriate? (Select all that apply.)
- ACrush all medications together to save time為節省時間將所有藥物磨碎混合
- BVerify tube placement before administering medication✓ 正解給藥前確認管路位置
- CFlush the tube with 15-30 mL of water before and after each medication✓ 正解每次給藥前後以15-30 mL的水沖洗管路
- DAdminister enteric-coated tablets by crushing them thoroughly將腸溶錠徹底磨碎後給藥
- EElevate the head of the bed to at least 30 degrees✓ 正解將床頭抬高至少30度
鼻胃管投藥原則:1. 分開研磨以避免藥物交互作用。2. 給藥前後以水沖管確保藥物輸送完全且不阻塞。3. 抬高床頭預防吸入性肺炎。腸溶衣錠(Enteric-coated)不可研磨,會破壞藥物釋放機制。錯誤混在一起給藥會增加阻塞與藥效衝突風險。
Principles of medication administration via NG tube: 1) crush and administer medications separately to avoid drug interactions; 2) flush the tube with water before and after each medication to ensure complete delivery and prevent obstruction; 3) elevate the head of the bed to prevent aspiration pneumonia. Enteric-coated tablets must not be crushed because doing so destroys the controlled-release mechanism. Mixing medications together increases the risk of tube obstruction and pharmacologic interactions.
台灣病房常使用針筒注藥法,美國則偏向使用重力滴注,但核心安全原則一致。