— 藥理與非經腸給藥 · MEDIUM · MCQ —
病人正在接受萬古黴素（Vancomycin）靜脈輸注，護理師觀察到其頸部與臉部潮紅。優先採取的護理措施為何？
A client is receiving vancomycin IV. The nurse notes flushing of the neck and face. What is the priority nursing action?
- ADiscontinue the medication permanently永久停止該藥物
- BIncrease the infusion rate加快輸注速率
- CSlow down the infusion rate✓ 正解減慢輸注速率
- DAdminister an antihistamine給予抗組織胺
— Explanation · 中文詳解 —
臉部與頸部潮紅為「紅人症候群」（Red Man Syndrome），通常與萬古黴素輸注速度過快有關，導致組織胺釋放。處置首要是減慢或暫停輸注速度，待症狀緩解後依醫囑重啟輸注。不需完全停藥，除非出現嚴重過敏反應。
Flushing of the face and neck represents 'Red Man Syndrome,' which is generally related to overly rapid infusion of vancomycin and resultant histamine release. The priority management is to slow or pause the infusion, and to resume the infusion as ordered after the symptoms resolve. Complete discontinuation of the medication is not necessary unless a severe allergic reaction occurs.
✦ 台美臨床差異
台灣與美國對紅人症候群處理原則相同，皆視為輸注速率控制問題。