— 藥理與非經腸給藥 · MEDIUM · MCQ —
病人因嚴重感染獲開立萬古黴素（Vancomycin）靜脈輸注。哪項護理行動對於預防紅人症候群至關重要？
A client is prescribed Vancomycin IV for a severe infection. Which nursing action is essential to prevent 'Red Man Syndrome'?
- AAdminister through a central line透過中心靜脈導管給藥
- BAdminister over at least 60 minutes✓ 正解至少於 60 分鐘內輸注完畢
- CPre-medicate with an antihistamine給予抗組織胺作為預先用藥
- DCheck for allergies before administration給藥前檢查過敏史
— Explanation · 中文詳解 —
萬古黴素（Vancomycin）輸注過快會導致組織胺（Histamine）大量釋放，引發「紅人症候群」（Red Man Syndrome），表現為臉部、頸部及上半身潮紅、搔癢、低血壓或心跳過快。預防之道在於嚴格控制輸注速度，規定必須在至少 60 分鐘內滴完，且通常建議稀釋後給藥。若發生反應，應減慢或暫停輸注並通知醫師。
Rapid infusion of vancomycin causes massive histamine release, producing 'Red Man Syndrome'—flushing of the face, neck, and upper torso, pruritus, hypotension, or tachycardia. Prevention requires strict control of infusion rate over at least 60 minutes with appropriate dilution. If a reaction occurs, slow or pause the infusion and notify the provider.