— 照護管理 · MEDIUM · MCQ —
護理師負責監測一位新放置周邊置入中心導管（PICC）的病人，哪項行動最為關鍵？
A nurse is overseeing the care of a client with a new peripherally inserted central catheter (PICC line). Which nursing action is essential?
- AVerifying the tip placement via X-ray before initial use✓ 正解初次使用前以X光確認管尖位置
- BChanging the dressing every 24 hours每24小時更換敷料
- CFlushing the line every 12 hours每12小時沖洗管路
- DApplying a warm compress to the site to improve flow在穿刺部位施加熱敷以促進流通
— Explanation · 中文詳解 —
PICC 放置後，最關鍵的步驟是經由 X 光攝影確認管路末端位置正確（位於上腔靜脈）。若位置不對即開始滴注藥物，會導致血管損傷或併發症。其他選項如沖管頻率、敷料更換頻率均有臨床規範，但皆不如確認導管位置具優先性。
After insertion of a PICC, the most critical step is to verify correct catheter tip placement (in the superior vena cava) via X-ray. Starting infusion of medication before correct placement is confirmed may cause vascular injury or other complications. Other options such as flush frequency and dressing change frequency have established clinical protocols, but none take precedence over confirming catheter tip placement.
✦ 台美臨床差異
PICC 在美國常由受過專門訓練的護理師放置；台灣多由專科醫師或介入性放射科執行，護理師職責重點在於維護與監測。