— 降低風險 · MEDIUM · SATA —
護理師準備給藥，下列哪些藥物必須與另一位護理師進行雙重核對？（選所有適合的）
A nurse is preparing to administer medications to several clients. For which of the following should the nurse double-check with another nurse? (Select all that apply.)
- AInsulin subcutaneous injection✓ 正解皮下注射胰島素
- BHeparin subcutaneous injection✓ 正解皮下注射肝素
- CIntravenous digoxin bolus✓ 正解靜脈注射毛地黃推劑
- DOral acetaminophen for pain口服乙醯胺酚止痛
- EIntravenous chemotherapy infusion✓ 正解靜脈輸注化學治療藥物
— Explanation · 中文詳解 —
高警訊藥物（High-Alert Medications）因治療範圍窄、嚴重副作用或錯誤風險極高，必須實施雙重核對。胰島素（A）、肝素（B）、毛地黃（C）及化療藥物（E）皆屬於高風險藥物。乙醯胺酚（D）為常見普藥，無需雙重核對。
High-alert medications require an independent double-check because of their narrow therapeutic window, severe adverse effects, or high risk of error. Insulin (A), heparin (B), digoxin (C), and chemotherapy agents (E) are all high-risk drugs. Acetaminophen (D) is a commonly used routine medication and does not require a double-check.
✦ 台美臨床差異
美國醫院透過電子紀錄（EMR）強制執行高警訊藥物雙人簽核；台灣醫院雖亦實施，但部分醫療系統可能依規模不同而有不同強度的執行規範。