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藥理與非經腸給藥 · MEDIUM · SATA

病人正在接受靜脈輸注萬古黴素(Vancomycin)。下列哪些徵象顯示病人可能出現「紅人症候群」?(選所有適合的)

A nurse is planning care for a client who is receiving intravenous vancomycin. Which findings indicate the client may be experiencing 'Red Man Syndrome'? (Select all that apply.)

  • AHypotension✓ 正解
    低血壓
  • BFlushing of the face and neck✓ 正解
    面部和頸部潮紅
  • CPruritus✓ 正解
    搔癢
  • DBronchospasm
    支氣管痙攣
  • EGeneralized rash
    全身性皮疹
Explanation · 中文詳解

「紅人症候群」(Red Man Syndrome)是因萬古黴素(Vancomycin)輸注速度過快引發的類過敏反應,導因於組織胺大規模釋放。典型症狀包含臉部、頸部與上半身潮紅(Flushing)、搔癢(Pruritus)及低血壓(Hypotension)。處理原則為減慢輸注速度或暫停輸注,並給予抗組織胺治療。

Red Man Syndrome is a pseudoallergic reaction caused by rapid IV infusion of vancomycin, with massive histamine release. Typical features include flushing of the face, neck, and upper body, pruritus, and hypotension. Management includes slowing or pausing the infusion and giving an antihistamine.

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