— 藥理與非經腸給藥 · EASY · MCQ —
病人正在靜脈滴注萬古黴素（Vancomycin），出現何種症狀需立即停止輸注？
A client is prescribed intravenous vancomycin. Which finding would cause the nurse to immediately stop the infusion?
- AFlushing of the face and neck面部和頸部潮紅
- BSlight discomfort during injection注射期間輕微不適
- CMild itching at the site局部輕微搔癢
- DHypotension and wheezing✓ 正解低血壓和喘鳴
— Explanation · 中文詳解 —
面頸部潮紅（Red man syndrome）通常與輸注過快有關，可減慢速度而非停藥；但若出現低血壓與喘鳴，則代表發生嚴重過敏性休克（Anaphylaxis），需立即停止給藥並給予緊急處置。分辨症狀嚴重度是區分過敏與副作用的關鍵。
While facial flushing indicates Red Man Syndrome and requires slowing the infusion, hypotension and wheezing signal a life-threatening anaphylactic reaction that necessitates immediate cessation of the vancomycin. Prompt recognition of these severe allergic symptoms is critical to prevent respiratory compromise and hemodynamic collapse.
✦ 台美臨床差異
無明顯差異，兩地皆視萬古黴素過敏反應為高風險處置，且均需在輸注期間監測血壓與呼吸狀態。