— 藥理與非經腸給藥 · MEDIUM · MCQ —
病人正在靜脈輸注萬古黴素(Vancomycin),護理師發現病人潮紅、搔癢與低血壓。護理師的首要行動是?
A client is receiving vancomycin IV. The nurse notes flushing, pruritus, and hypotension. What is the nurse's priority action?
- AIncrease the IV rate增加靜脈輸注速率
- BStop the infusion✓ 正解停止輸注
- CAdminister an antihistamine給予抗組織胺
- DNotify the physician通知醫師
— Explanation · 中文詳解 —
這描述的是紅人症候群(Red Man Syndrome),通常是因為輸注速度過快所致。優先處置是立即停止輸注,減緩或停止藥物進入血液循環才能有效緩解症狀。隨後再通知醫師、評估生命徵象,經醫囑可能需減慢輸注速度或給予抗組織胺。
The symptoms describe Red Man Syndrome, caused by rapid infusion of vancomycin. The priority action is to stop the infusion immediately to prevent further medication entry and alleviate symptoms before notifying the provider.
✦ 台美臨床差異
兩地對紅人症候群的處置一致,強調「停、通知、評估、減速」的順序。