— 藥理與非經腸給藥 · HARD · MCQ —
護理師照護一位正接受靜脈注射萬古黴素（Vancomycin）的病人。下列哪項發現暗示病人正出現「紅人症候群」？
A nurse is caring for a client receiving intravenous vancomycin. Which finding suggests the client is experiencing 'Red Man Syndrome'?
- AHypotension and wheezing低血壓與喘鳴
- BFlushing of the face and neck✓ 正解面部與頸部潮紅
- CEdema of the eyelids and lips眼瞼與嘴唇水腫
- DGeneralized urticaria and pruritus全身性蕁麻疹與搔癢
— Explanation · 中文詳解 —
紅人症候群是因為萬古黴素輸注速度過快引起的組胺釋放反應。典型症狀為面部、頸部及上半身潮紅，伴隨搔癢或刺痛感。這是一種非過敏性反應。低血壓、喘鳴或血管水腫則多為真正的過敏性休克（Anaphylaxis），需與紅人症區別。
Red Man Syndrome is caused by rapid vancomycin infusion leading to histamine release, characterized by flushing of the face, neck, and upper torso. It is distinct from anaphylaxis, which presents with hypotension, wheezing, or angioedema.
✦ 台美臨床差異
美台臨床皆將此反應視為需調整輸注速度（降速）的臨床常見狀況，而非絕對的禁忌症。