一位病人因 MRSA 感染獲處方萬古黴素(Vancomycin),為預防「紅人症候群」,護理師應採取何種措施?
A client is prescribed vancomycin for a MRSA infection. Which nursing action is essential to prevent Red Man Syndrome?
- AVerify the patient's creatinine level確認病人的肌酸酐數值
- BAdminister the dose over at least 60 minutes✓ 正解將劑量在至少 60 分鐘內輸注完畢
- CAdminister with an antihistamine prophylactically預防性給予抗組織胺併用
- DCheck for allergies to penicillin檢查是否有青黴素過敏
紅人症候群(Red Man Syndrome)並非免疫過敏,而是藥物滴注過快導致組織胺釋放的現象。處理方式應為降低輸注速率,通常症狀即可緩解。若出現此徵兆,護理師應將滴注時間拉長至至少 60 分鐘,以防止組織胺過度釋放。若停藥或使用抗組織胺可能過度處理,且不必要地中斷抗生素治療。護理師應熟悉此藥物特性,以確保輸注安全。
Red Man Syndrome is not an immune allergic reaction but rather a phenomenon of histamine release caused by overly rapid infusion of vancomycin. Management is to slow the infusion rate, which usually relieves the symptoms. If signs occur, the nurse should extend the infusion time to at least 60 minutes to prevent excessive histamine release. Stopping the drug or using antihistamines may be excessive treatment and would unnecessarily interrupt antibiotic therapy. The nurse should be familiar with the properties of this medication to ensure safe infusion.