— 藥理與非經腸給藥 · MEDIUM · MCQ —
病人正在進行萬古黴素靜脈輸注，護理師觀察到潮紅、搔癢及低血壓。優先處置為何？
A client is receiving vancomycin IV. The nurse notes flushing, pruritus, and hypotension. What is the priority intervention?
- ASlow the infusion rate✓ 正解減慢輸注速度
- BAdminister an antihistamine給予抗組織胺
- CDiscontinue the medication immediately立即停止給藥
- DObtain a blood culture抽取血液培養
— Explanation · 中文詳解 —
紅人症候群（Red Man Syndrome）是萬古黴素快速輸注導致組織胺釋放的常見副反應。出現上述徵兆時，應立即減慢輸注速率或暫停，待症狀緩解後再評估。這並非真正的過敏反應，無需停藥；除非症狀嚴重或伴有休克，才需考慮藥物治療。
Red Man Syndrome is a common reaction from rapid vancomycin infusion causing histamine release. With flushing, pruritus, and hypotension, the priority is to slow (or temporarily pause) the infusion and reassess once symptoms resolve. It is not a true allergic reaction and does not require discontinuation unless symptoms are severe or anaphylaxis develops; antihistamines are secondary.
✦ 台美臨床差異
兩地針對紅人症候群的指引一致，皆強調速率管理優先於給予藥物治療。