— 藥理與非經腸給藥 · HARD · MCQ —
病人因急性肺水腫獲醫囑靜脈推注 Furosemide 40 mg，護理師發現病人正在滴注 Gentamicin。哪項行動最恰當？
A client is prescribed furosemide 40 mg IV push for acute pulmonary edema. The nurse notes the client is currently receiving an IV infusion of gentamicin. Which action is most appropriate?
- AFlush the current line with normal saline, administer furosemide, then flush again以生理食鹽水沖洗當前管路，給予furosemide，然後再次沖洗
- BHold the furosemide until the gentamicin infusion is complete暫停給予furosemide，直到gentamicin輸注完成
- CAdminister the furosemide through a separate IV site通過另一個靜脈通路給予furosemide
- DCheck the drug compatibility chart before administering the medication✓ 正解給藥前查證藥物相容性表
— Explanation · 中文詳解 —
Furosemide 與許多藥物存在配伍禁忌，直接混合可能導致沉澱或失活。護理師首要程序是確認兩者是否相容。若相容，可經由 Y 接頭給藥；若不相容，則需換位置或清洗管路。B 選項會延誤緊急利尿治療，不可行。
Furosemide is incompatible with many medications; mixing them directly may cause precipitation or inactivation. The nurse's first step is to confirm whether the two medications are compatible. If compatible, they may be administered via a Y-site; if not, the site should be changed or the line flushed. Option B would delay urgent diuretic therapy and is therefore unacceptable.
✦ 台美臨床差異
台美臨床均極度重視藥物配伍禁忌。美國護理師常依賴電子臨床系統（如 Lexicomp）即時查詢，台灣醫院則多備有書面或電子版配伍禁忌手冊。