護理師照護一位對乳膠過敏的病人。下列哪些物品應避免使用?(選所有適合的)
A nurse is caring for a client with a latex allergy. Which items should be avoided in the client's care? (Select all that apply.)
- ALatex gloves✓ 正解乳膠手套
- BRubber injection ports on IV tubing✓ 正解靜脈輸液管上的橡膠注射端口
- CBlood pressure cuffs with latex tubing✓ 正解帶有乳膠管路的血壓袖帶
- DNon-latex synthetic gloves非乳膠合成手套
- ELatex-containing Foley catheter balloon✓ 正解含有乳膠的福留氏導尿管球囊
乳膠過敏(Latex Allergy)病人可能對天然橡膠中的蛋白質產生過敏反應,嚴重者會引發過敏性休克(Anaphylaxis)。護理師必須執行乳膠安全環境(Latex-safe environment),移除所有含有天然橡膠成分的醫療耗材。這不僅限於手套,還包括任何可能接觸病人黏膜、血液或血管的橡膠製品。臨床上應使用非乳膠(Non-latex/Synthetic)替代品,如腈(Nitrile)手套。
Patients with latex allergy may react to proteins in natural rubber; severe reactions can trigger anaphylaxis. The nurse must implement a latex-safe environment, removing all medical supplies containing natural rubber. This applies not only to gloves but also to any rubber product that may contact the patient's mucous membranes, blood, or vasculature. Clinically, non-latex (synthetic) substitutes such as nitrile gloves should be used.
美國醫院通常設有「Latex-Free Cart」或「Latex-Safe Protocol」,護理師需在病人入院時透過評估(Admission assessment)確認過敏史,並在病歷系統中標記。