護理師照護一位有嚴重乳膠過敏史的病人。應使用哪種手術手套?
The nurse is caring for a client with a history of severe latex allergy. Which surgical glove type should be used?
- ANatural rubber gloves天然橡膠手套
- BNeoprene or nitrile gloves✓ 正解氯丁橡膠或丁腈手套
- CPowdered latex gloves含粉乳膠手套
- DVinyl gloves乙烯基手套
乳膠過敏(latex allergy)是一種對天然橡膠乳膠(natural rubber latex)中蛋白質的免疫反應,可能從輕微的皮膚刺激到嚴重的全身性過敏反應(anaphylaxis)。對於有嚴重乳膠過敏史的病人,在進行任何醫療處置,特別是手術時,選擇無乳膠的醫療用品至關重要,以避免引發過敏反應,危及病人生命。 正確答案「C」指出應使用氯丁橡膠(Neoprene)或丁腈(Nitrile)手套。這兩種手套都是合成材料製成,不含天然橡膠乳膠蛋白,因此對於乳膠過敏的病人是安全的選擇。丁腈手套在醫療領域尤其普及,因其具有良好的穿刺抵抗力、化學耐受性和舒適性,是乳膠手套的理想替代品。護理師在照護有乳膠過敏史的病人時,必須確保所有接觸病人的物品,包括手套、導管、膠帶等,均為無乳膠產品,以營造一個安全的無乳膠環境。
Latex allergy is an immune reaction to proteins in natural rubber latex and can range from mild dermatitis to anaphylaxis. For clients with severe latex allergy, latex-free supplies are essential. Synthetic gloves such as neoprene and nitrile contain no natural rubber latex proteins and are safe alternatives. Nitrile is particularly common in healthcare for its puncture resistance, chemical durability, and tactile sensitivity. All items contacting the client (gloves, catheters, tape) should be latex-free to maintain a latex-free environment.
美國大多數醫院已全面改用無粉丁腈手套;台灣正由傳統乳膠轉向丁腈手套中。