— 藥理與非經腸給藥 · EASY · MCQ —
病人於靜脈輸注抗生素後出現紅疹與喘鳴聲，護理師的首要行動為何？
A nurse is caring for a client who develops a rash and wheezing after receiving an antibiotic infusion. Which action is the priority?
- AMonitor oxygen saturation監測血氧飽和度
- BAdminister epinephrine給予腎上腺素
- CNotify the provider通知醫師
- DStop the infusion✓ 正解停止輸注
— Explanation · 中文詳解 —
病人出現過敏性休克徵象（紅疹、喘鳴），最優先的處理是去除致敏原。停止輸注是第一步，以防止更多藥物進入循環。接著才是通知醫師、給予急救藥物（如腎上腺素）以及監測生理狀況。處理原則依照 ABCDE 程序。
When a client exhibits signs of an allergic reaction such as a rash and wheezing, the priority nursing action is to immediately stop the infusion to prevent further exposure to the allergen. Although notifying the provider and administering emergency medications like epinephrine are critical subsequent steps, removing the source of the reaction takes precedence to ensure patient safety.
✦ 台美臨床差異
美國護理師依據緊急處置規章可直接停藥並給予急救藥物；台灣護理師亦可停藥，但給予急救藥物通常需醫師醫囑。