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藥理與非經腸給藥 · MEDIUM · MCQ

病人在接受靜脈輸注氯化鉀,護理師發現穿刺部位出現靜脈炎徵象。應優先採取何種行動?

A client is receiving an intravenous infusion of potassium chloride. The nurse observes signs of phlebitis at the insertion site. Which action should the nurse take first?

  • ANotify the healthcare provider
    通知醫療保健提供者
  • BStop the infusion immediately✓ 正解
    立即停止輸注
  • CSlow the rate of the infusion
    減緩輸注速率
  • DApply a warm compress to the site
    在穿刺部位應用熱敷
Explanation · 中文詳解

氯化鉀(KCl)是高警訊藥物(High-Alert Medication),具強烈血管刺激性。若發現靜脈炎或滲漏(Extravasation),首要行動是立即停止輸注,以防藥物進一步損害周邊組織,造成壞死。隨後才進行部位評估與醫師回報。在美國臨床實務中,KCl 點滴必須使用輸液幫浦(Infusion Pump)以確保速度精確。

Potassium chloride is a high-alert medication with strong vascular irritant properties, so the priority action upon observing signs of phlebitis is to stop the infusion immediately to prevent further tissue damage. After securing the client's safety by discontinuing the medication, the nurse should then assess the site and notify the healthcare provider.

✦ 台美臨床差異

在美國臨床實務中,KCl 絕對不可透過靜脈推注(IV Push)給予,且必須使用幫浦(Pump)輸注。若發生滲漏,應根據單位規範判斷是否需特殊處理或轉介至傷口護理小組。

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