— 藥理與非經腸給藥 · MEDIUM · SATA —
病患正在接受萬古黴素(Vancomycin)靜脈輸注。下列哪些症狀顯示「紅人症候群」?(選所有適合的)
A client is receiving vancomycin IV. Which symptoms suggest 'Red Man Syndrome'? (Select all that apply.)
- AHypotension✓ 正解低血壓
- BFlushing of the face and neck✓ 正解臉部與頸部潮紅
- CPruritus✓ 正解搔癢
- DWheezing喘鳴
- EMuscle pain in the back and chest✓ 正解背部與胸部肌肉疼痛
— Explanation · 中文詳解 —
紅人症候群是快速輸注萬古黴素導致組織胺大量釋放的副作用。臨床表現為臉部、頸部及上半身潮紅、搔癢、肌肉疼痛(背部與胸部),嚴重時可導致低血壓。喘鳴(Wheezing)通常與過敏性休克有關,而非單純的紅人症。
Red Man Syndrome results from rapid vancomycin infusion causing histamine release, leading to flushing, pruritus, and muscle pain in the chest and back. Hypotension may occur due to vasodilation. Wheezing is not typical of this syndrome but suggests anaphylaxis.
✦ 台美臨床差異
兩地均強調輸注速度控制,台灣醫療環境若發生此症狀,護理師通常會立即停止給藥並通知醫師。