— 藥理與非經腸給藥 · MEDIUM · MCQ —
病人因嚴重感染被開立萬古黴素（Vancomycin）。哪項護理評估最重要？
A client is prescribed vancomycin for a severe infection. Which nursing assessment is critical?
- AMonitoring for red man syndrome監測紅人症
- BMonitoring for diarrhea監測腹瀉
- CAssessing skin turgor評估皮膚彈性
- DChecking daily serum creatinine✓ 正解檢查每日血清肌酸酐
— Explanation · 中文詳解 —
萬古黴素具有腎毒性（Nephrotoxicity）與耳毒性。監測腎功能指標（如肌酸酐 Creatinine）對於調整劑量或防止腎衰竭至關重要。雖然紅人症（Red Man Syndrome）也是常見副作用，但透過調整輸注速度可預防，腎毒性則屬於劑量累積的潛在威脅。
Vancomycin is nephrotoxic, making daily monitoring of serum creatinine essential to assess renal function and adjust dosing to prevent kidney damage. While red man syndrome is a known side effect, it can often be prevented by controlling the infusion rate, whereas renal impairment requires ongoing objective surveillance.
✦ 台美臨床差異
在美國，Vancomycin 輸注前後需監測 Trough level；台灣則視醫院規範而定，但腎功能監測皆為標準流程。