護理師經鼻胃管（NG tube）給藥，確保藥物進入的優先行動為何？
A nurse is administering a dose of medication via a nasogastric (NG) tube. What is the priority action to ensure medication delivery?
- ACrush all medications together and mix with water將所有藥物磨碎並與水混合
- BMix the medication with the enteral feeding formula將藥物與腸道營養配方混合
- CFlush the tube before and after medication administration✓ 正解給藥前後沖洗管路
- DCheck the pH of the gastric contents every time每次檢查胃內容物的pH值
鼻胃管給藥的優先考量是管路通暢（Patency）與藥物完整傳遞。在給藥前後及藥物之間使用清水沖洗（Flushing），能有效防止藥物殘留造成管路阻塞，並確保藥物確實進入胃部而非滯留在管壁。將藥物磨碎混入營養配方（Enteral feeding）可能導致物理性沈澱或化學交互作用，影響吸收或導致管路堵塞。
The priority in NG-tube administration is maintaining patency and ensuring full drug delivery. Flushing with water before, between, and after medications prevents drug residue from clogging the tube and ensures medications reach the stomach instead of remaining in the tubing. Crushing drugs into the enteral formula can cause physical precipitation or chemical interactions, impairing absorption or clogging the tube.
美國臨床更嚴格遵循『藥物與營養配方分開給予』原則，許多醫院政策要求在給藥前後需暫停管灌餵食至少 30 分鐘，以避免藥物吸收率受影響。