— 照護管理 · MEDIUM · MCQ —
護理長觀察新進護理師給藥過程，下列哪項行為需要立即介入？
A nurse manager is observing a newly licensed nurse prepare medication. Which action by the new nurse requires immediate intervention?
- AVerifying the client's identity using two identifiers before administration.給藥前使用兩種辨識方式確認病人身份
- BCrushing a sustained-release tablet to make it easier for the client to swallow.✓ 正解將緩釋錠劑磨碎以便病人吞服
- CChecking the medication label against the MAR before taking it out of the drawer.從抽屜取出藥物前，對照藥物管理記錄表（MAR）檢查藥物標籤
- DAsking the client if they have any known drug allergies.詢問病人是否有已知藥物過敏史
— Explanation · 中文詳解 —
緩釋劑型藥物（Sustained-release）具有特殊外層，旨在控制藥物在體內緩慢釋放。若將其磨粉，會導致藥物在短時間內過量釋出，造成藥效過強或藥物中毒。此舉違反用藥安全原則，護理長必須立即制止，並教育護理師此類劑型不可破壞結構。
Sustained-release medications have a special outer coating designed to control slow release of the drug in the body. Crushing them causes the drug to be released in excessive amounts within a short period, leading to exaggerated drug effects or toxicity. This action violates the principles of medication safety, and the nurse manager must immediately stop it and educate the nurse that the structure of such formulations must not be altered.
✦ 台美臨床差異
美台皆強調不可磨碎緩釋劑型；美國醫院系統對藥物劑型管理極嚴，台灣醫師偶爾會開立磨粉醫囑，護理師需專業判斷。