— 照護管理 · HARD · MCQ —
護理師準備經由現有的靜脈管路給予不相容的藥物，最正確的處置是？
A nurse is preparing to administer an incompatible medication through an existing IV line. What is the most appropriate action?
- AFlush the line with 5 mL of normal saline before and after the medication在給藥前後用 5 mL 生理食鹽水沖洗管路
- BRestart the IV line at a new site to ensure compatibility在新部位重新建立靜脈通路以確保相容性
- CConsult the pharmacy or drug reference to identify an alternative route✓ 正解諮詢藥局或藥物參考資料以找出替代給藥途徑
- DAdminister both medications simultaneously at a slow rate以緩慢速度同時給予兩種藥物
— Explanation · 中文詳解 —
靜脈給藥時的藥物不相容（Incompatibility）會產生沉澱物，注入血管後可能導致栓塞或嚴重反應。護理師若發現醫囑藥物與現有輸注液不相容，必須立即停止給藥行為，並透過藥物手冊（Drug Reference）或諮詢藥師尋求可行途徑（如建立第二條管路或諮詢給藥時間間隔），這是確保給藥安全的核心判斷。
Administering incompatible medications can cause precipitation, leading to emboli or severe reactions. The nurse must verify compatibility by consulting the pharmacy or drug references to identify a safe alternative route or method, ensuring patient safety.