— 藥理與非經腸給藥 · MEDIUM · MCQ —
護理師正給予哌拉西林-他唑巴坦（piperacillin-tazobactam）的靜脈輸注。病人出現蕁麻疹並表示呼吸困難。首要的護理措施為何？
A nurse is administering an IV infusion of piperacillin-tazobactam. The client develops hives and reports difficulty breathing. What is the priority nursing action?
- AAdminister epinephrine and continue the infusion slowly.給予腎上腺素並繼續以緩慢速度輸注
- BAdminister diphenhydramine.給予苯海拉明
- CStop the infusion and administer oxygen.✓ 正解停止輸注並給予氧氣
- DNotify the physician and prepare for intubation.通知醫師並準備插管
— Explanation · 中文詳解 —
蕁麻疹（hives）與呼吸困難是嚴重過敏反應（anaphylaxis）的典型徵兆。過敏性休克是致命的，必須採取 ABC（Airway, Breathing, Circulation）原則處理。首要行動是停止輸注（移除過敏原），接著給予氧氣支持並準備急救藥物（如腎上腺素），以維持呼吸道通暢與循環穩定。
Hives and dyspnea during piperacillin-tazobactam infusion strongly suggest anaphylaxis. Following the ABC framework, the priority is to stop the infusion (removing the allergen) and administer oxygen to support breathing, while preparing for emergency medications (epinephrine) and possible intubation. Continuing the infusion is contraindicated.