病人正在靜脈輸注萬古黴素(Vancomycin)。護理師應立即回報哪些疑似「紅人症候群」的症狀?(選所有適合的)
A client is receiving vancomycin IV. Which symptoms should the nurse report immediately as potential signs of Red Man Syndrome? (Select all that apply.)
- AFlushing of the face and neck✓ 正解臉部與頸部潮紅
- BHypotension✓ 正解低血壓
- CPruritus✓ 正解搔癢
- DRespiratory distress呼吸困難
- EGeneralized rash on the upper torso✓ 正解上半身廣泛性皮疹
紅人症候群(Red Man Syndrome)是因萬古黴素輸注速度過快引起的組胺釋放反應。常見特徵包括臉部、頸部與上軀幹潮紅、搔癢及低血壓。注意:呼吸窘迫(D)多為過敏性休克的表現,而非單純的紅人症候群,故不選。發生時應立即減慢輸注速度並通知醫師處理。
Red Man Syndrome is a histamine-release reaction caused by infusing vancomycin too rapidly. Common features include flushing of the face, neck, and upper torso, pruritus, and hypotension. Note: respiratory distress (D) more typically represents anaphylaxis rather than uncomplicated Red Man Syndrome and is therefore not selected. When this reaction occurs, the infusion rate should be slowed immediately and the provider notified for further management.
台灣醫院對 Vancomycin 輸注速度監控與美國同等嚴格,皆常規執行預防措施。