— 藥理與非經腸給藥 · MEDIUM · MCQ —
護理師正在為細菌感染病人輸注萬古黴素（Vancomycin）。病人出現潮紅與低血壓，優先護理措施為何？
A nurse is administering a Vancomycin infusion to a patient with a bacterial infection. The patient develops flushing and hypotension. What is the priority nursing intervention?
- ASlow the infusion rate✓ 正解減慢輸注速率
- BAdminister an antihistamine給予抗組織胺
- CAdminister epinephrine給予腎上腺素
- DDiscontinue the infusion停止輸注
— Explanation · 中文詳解 —
萬古黴素輸注過快常引起「紅人症候群（Red Man Syndrome）」，表現為潮紅、低血壓、瘙癢。此非過敏反應，而是藥物快速輸注導致組胺釋放，處理重點在於調慢滴速以緩解症狀，而非直接停藥或使用急救藥物。
Rapid infusion of vancomycin commonly causes 'Red Man Syndrome,' which manifests as flushing, hypotension, and pruritus. This is not an allergic reaction but rather histamine release from rapid drug infusion; the focus of management is to slow the infusion rate to relieve symptoms, not to discontinue the drug or use emergency medications.
✦ 台美臨床差異
台美臨床對於紅人症候群的處置一致，強調緩慢滴注而非立即停藥。