— 藥理與非經腸給藥 · EASY · MCQ —
一位病人在靜脈輸注新的抗生素時突然出現喘鳴（wheezing）與呼吸困難。護理師首要行動為何？
A nurse is caring for a client who develops sudden wheezing and dyspnea while receiving an intravenous infusion of a new antibiotic. Which action is the priority?
- AStop the infusion immediately✓ 正解立即停止輸注。
- BCall the physician immediately立即通知醫師。
- CDocument the incident in the chart在病歷中記錄此事件。
- DAdminister oxygen via nasal cannula通過鼻導管給予氧氣。
— Explanation · 中文詳解 —
發生嚴重過敏反應（Anaphylaxis）的第一時間，最重要的動作是移除過敏原。繼續輸注會導致症狀迅速惡化，因此必須立即停止輸注。其餘選項如給氧或通知醫師均在移除過敏原後接續執行，但非優先順序的第一步。
When a severe allergic reaction (anaphylaxis) occurs, the most important immediate action is to remove the allergen. Continued infusion will cause rapid worsening of symptoms, so the infusion must be stopped immediately. Other actions, such as administering oxygen or notifying the physician, are performed after removing the allergen, but they are not the first priority step.
✦ 台美臨床差異
在兩地臨床，護理師依據緊急處置流程（Protocol）皆可主動停止造成病人過敏的輸液。