護理師準備執行 IV piggyback 給藥，哪些行動能確保給藥安全？（複選）
A nurse is preparing to administer a medication via an IV piggyback. Which action ensures safe medication administration? (Select all that apply.)
- AVerify the medication with another nurse請另一位護理師核對藥物
- BCheck for medication incompatibility✓ 正解檢查藥物不相容性
- CPerform the three checks and five rights✓ 正解執行三讀五對
- DCalculate the infusion rate based on the total volume根據總體積計算輸注速率
- EAssess the IV site for infiltration or phlebitis✓ 正解評估靜脈穿刺處是否有滲漏或靜脈炎
IVPB 給藥安全的核心在於預防藥物交互作用、確保給藥正確性及維護靜脈通路完整。護理師必須在給藥前確認藥物與主輸液（Primary IV）的化學相容性，以防產生沉澱或藥效降低。同時，嚴格執行三讀五對（Three checks and five rights）是防止給藥錯誤的最後防線。最後，評估靜脈通路（IV site）的狀況，確保無滲漏（Infiltration）或靜脈炎（Phlebitis），以保證藥物能有效進入血液循環並避免組織損傷。
The core of IVPB safety is preventing drug interactions, ensuring correct administration, and maintaining IV access integrity. The nurse must verify chemical compatibility with the primary IV to prevent precipitation or reduced efficacy. The three checks and five rights are the final defense against medication errors. Finally, the IV site must be assessed for infiltration or phlebitis to ensure the drug effectively enters circulation without causing tissue damage.
美國臨床對於 IVPB 的相容性查詢極度依賴電子病歷系統（EMR）內建的臨床決策支援系統（CDSS），護理師需養成習慣在給藥前掃描條碼並核對系統提示，此點與台灣較依賴紙本藥物手冊的習慣略有不同。