— 藥理與非經腸給藥 · EASY · MCQ —
護理師執行給藥，下列何者正確描述「正確時間」之給藥原則？
A nurse is administering medications. Which of the following describes the correct interpretation of the 'right time' medication administration principle?
- AAdminister the drug whenever the nurse has time to complete the documentation護理師有空完成紀錄時再給藥
- BAdminister the drug only when the patient requests it僅當病人要求時才給藥
- CAdminister the drug within 30 minutes before or after the scheduled time✓ 正解在預定時間前後 30 分鐘內給藥
- DAdminister the drug exactly at the specified time to maintain therapeutic blood levels嚴格在指定時間給藥以維持治療性血中濃度
— Explanation · 中文詳解 —
臨床實務中，給藥時間有其緩衝區間（常見為前後 30-60 分鐘），以確保病人能按時服藥，同時兼顧護理工作流程。D 選項過於強調「精確」，反而忽略臨床實務彈性，C 為標準安全區間。A、B 皆非給藥原則。
The 'right time' principle allows for a standard administration window, typically within 30 minutes before or after the scheduled time, to balance therapeutic efficacy with clinical workflow flexibility. Strict adherence to the exact minute is often impractical, whereas significant deviations can compromise drug levels or safety.
✦ 台美臨床差異
美國醫院常見 30 分鐘緩衝，台灣醫院評鑑亦有類似規範，但部分藥物（如抗生素）在台灣對時間準確度要求更嚴格。