— 藥理與非經腸給藥 · MEDIUM · MCQ —
病人獲醫囑處方靜脈注射萬古黴素，護理師發現何種臨床徵象應立即回報醫師？
A client is prescribed intravenous vancomycin. Which clinical finding should the nurse report to the provider immediately?
- AFlushing of the face and neck臉部和頸部潮紅
- BSerum trough level of 12 mcg/mL血清谷濃度 12 mcg/mL
- CRespiratory wheezing and hypotension✓ 正解呼吸喘鳴和低血壓
- DUrine output of 40 mL per hour每小時尿量 40 mL
— Explanation · 中文詳解 —
紅人症候群（Red Man Syndrome）表現為頸部潮紅，通常透過減慢輸注速率緩解。但若出現喘鳴與低血壓，則屬於嚴重的全身性過敏性休克（Anaphylaxis），必須立即停止輸注並給予急救藥物，此為危急生命徵象，需優先回報。
Red Man Syndrome presents as flushing of the face and neck and is usually relieved by slowing the infusion rate. However, the appearance of wheezing and hypotension represents severe systemic anaphylaxis; the infusion must be stopped immediately and emergency medications administered. This is a life-threatening finding and must be reported as the highest priority.
✦ 台美臨床差異
台美皆重視過敏反應處置；美國醫院常有專責藥師監測萬古黴素濃度，台灣則多由醫師與護理師共同監控。