— 藥理與非經腸給藥 · HARD · MCQ —
護理師正準備發藥,哪位病人應優先處理以預防給藥錯誤?
A nurse is preparing to administer medications to several clients. Which client should the nurse prioritize to prevent a medication error?
- AA client waiting for routine pain medication等待常規止痛藥的病人
- BA client receiving oral antibiotics scheduled at the same time同時段需口服抗生素的病人
- CA client needing a scheduled daily multivitamin需要每日服用綜合維他命片的病人
- DA client requiring a high-alert medication like IV insulin✓ 正解需要使用高警訊藥物(如靜脈注射胰島素)的病人
— Explanation · 中文詳解 —
高警訊藥物(High-alert medications)如靜脈注射胰島素、肝素、化療藥等,若發生給藥錯誤,會對病人造成不可逆的傷害甚至死亡。因此,護理師在發藥時,必須優先處理這些藥物,並落實雙重核對(Double-check)機制。其他藥物雖需遵守給藥原則,但因其安全邊際較高,優先級次於高警訊藥物。
High-alert medications such as IV insulin, heparin, and chemotherapy agents can cause irreversible harm or death if administered incorrectly. The nurse must prioritize these and implement double-check procedures. Other medications, while still subject to safe administration rules, have a wider safety margin and lower priority.