— 藥理與非經腸給藥 · MEDIUM · SATA —
護理師透過 PEG 管路給予多種藥物，應採取哪些措施？（選所有適合的）
A nurse is administering multiple medications to a patient via a PEG tube. Which actions should the nurse take? (Select all that apply.)
- ACrush all medications together to save time將所有藥物磨碎混合以節省時間
- BFlush the tube with 15-30 mL of water before and after each medication✓ 正解每次給藥前後以 15-30 mL 之水沖洗管路
- CMix medications directly into the enteral feeding formula將藥物直接混合於腸道營養配方中
- DCheck for gastric residual volume before administration✓ 正解給藥前檢查胃殘留量
- EUse liquid formulations when available✓ 正解如有液體劑型則使用液體製劑
— Explanation · 中文詳解 —
經皮胃造口（PEG）給藥需遵循嚴格的標準操作流程，以確保藥物吸收效果並維持管路通暢。給藥前評估胃殘餘量可降低吸入性肺炎風險；給藥後必須沖洗管路，以避免藥物殘留造成阻塞。若有液體藥物則優先選擇，因其較不容易阻塞管路。禁止將藥物混合在營養液中，因為這可能導致藥物與營養液凝固，造成管路阻塞或藥物吸收不穩定。
The nurse should check for gastric residual volume before administration to assess gastric emptying and reduce aspiration risk, and flush the tube with 15-30 mL of water before and after each medication to prevent clogging. Liquid formulations should be used when available as they are less likely to obstruct the tube, whereas crushing medications together or mixing them with formula can cause interactions or blockages.