— 藥理與非經腸給藥 · EASY · MCQ —
病人正在使用 Vancomycin，護理師觀察到下列何種情況需聯想到「紅人症候群」？
A nurse is caring for a client receiving Vancomycin. Which finding should the nurse recognize as 'Red Man Syndrome'?
- AAngioedema血管性水腫
- BAnaphylactic shock過敏性休克
- CGeneralized urticaria全身性蕁麻疹
- DFlushing of the face and neck✓ 正解面部和頸部潮紅
— Explanation · 中文詳解 —
紅人症候群是因為 Vancomycin 滴注速度過快導致組織胺大量釋放。特徵是臉部、頸部及上半身出現潮紅（Flushing），通常伴隨搔癢但不一定會有蕁麻疹或低血壓。這是類過敏反應而非真正的過敏，通常減慢滴注速度即可緩解。
Red Man Syndrome is caused by massive histamine release from rapid infusion of vancomycin. It is characterized by flushing of the face, neck, and upper body, often accompanied by pruritus, but not necessarily urticaria or hypotension. This is an anaphylactoid rather than a true allergic reaction and can usually be relieved by slowing the infusion rate.
✦ 台美臨床差異
台灣臨床護理師對於 Vancomycin 滴注速度的控管相當嚴格，通常要求 60-90 分鐘以上。