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藥理與非經腸給藥 · MEDIUM · MCQ

護理師輸注靜脈萬古黴素(Vancomycin)。標準輸注時間為何?

A nurse is administering IV vancomycin. What is the standard duration of infusion?

  • A4 hours
    4 小時
  • B10 minutes
    10 分鐘
  • C60 minutes✓ 正解
    60 分鐘
  • D30 minutes
    30 分鐘
Explanation · 中文詳解

萬古黴素(Vancomycin)屬於醣肽類抗生素,輸注速度是臨床給藥的關鍵安全指標。若輸注過快(少於 60 分鐘),會導致組織胺(Histamine)大量釋放,引發「紅人症候群(Red Man Syndrome)」,症狀包括臉部、頸部及上半身潮紅、低血壓、搔癢及蕁麻疹。為了確保病人安全,標準給藥流程規定輸注時間不得少於 60 分鐘。

Vancomycin is a glycopeptide antibiotic, and infusion rate is a critical safety indicator in clinical administration. If the infusion is too fast (less than 60 minutes), a large amount of histamine is released, leading to 'Red Man Syndrome,' with symptoms including flushing of the face, neck, and upper body, hypotension, pruritus, and urticaria. To ensure patient safety, standard administration protocols specify that the infusion time must not be less than 60 minutes.

✦ 台美臨床差異

美國臨床護理中對於萬古黴素的輸注時間要求極為嚴格,通常會使用輸液幫浦(Infusion pump)精確控制,且若發生紅人症候群,護理師應立即減慢或暫停輸注,並報告醫師處理。

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