— 藥理與非經腸給藥 · MEDIUM · MCQ —
一位病人靜脈滴注萬古黴素（vancomycin），護理師發現病人臉部及頸部潮紅。優先處置為何？
A client is prescribed intravenous vancomycin. The nurse notes the client developing flushing on the face and neck. What is the nurse's priority action?
- ASlow the infusion rate✓ 正解減慢輸注速率
- BNotify the physician通知醫師
- CAdminister an antihistamine immediately立即給予抗組織胺
- DDiscontinue the antibiotic停止抗生素給藥
— Explanation · 中文詳解 —
紅人症候群（Red Man Syndrome）是由於萬古黴素滴注過快導致組織胺釋放的副作用。處理原則是先減慢滴速，通常症狀會緩解。若嚴重過敏（過敏性休克），才需停藥並給予抗組織胺。目前僅是潮紅症狀，減慢滴速為最佳首選處置。
Red Man Syndrome is a histamine-release side effect caused by infusing vancomycin too rapidly. Management is to slow the infusion rate first, and symptoms usually resolve. Discontinuing the drug and giving antihistamines are reserved for severe allergic reactions such as anaphylaxis. Because the client is currently only showing flushing, slowing the infusion rate is the most appropriate first action.
✦ 台美臨床差異
台美皆視此為藥物給予速度相關的常見副作用，處理方式一致。