— 藥理與非經腸給藥 · MEDIUM · MCQ —
病人正在靜脈輸注萬古黴素（Vancomycin）。下列哪項發現會使護理師懷疑是「紅人症候群」？
A client is prescribed intravenous Vancomycin. Which finding should lead the nurse to suspect 'Red Man Syndrome'?
- ASevere respiratory distress and laryngeal edema嚴重呼吸困難與喉頭水腫
- BSudden onset of hypotension and tachycardia突發性低血壓與心搏過速
- CGeneralized pruritus and erythema of the face, neck, and chest✓ 正解全身性搔癢及臉部、頸部和胸部紅斑
- DPain at the injection site注射部位疼痛
— Explanation · 中文詳解 —
紅人症候群（Red Man Syndrome）是因為萬古黴素輸注速度過快引起的組胺釋放反應，典型症狀為頭部、頸部及胸部的紅疹、搔癢與潮紅。這並非真正的過敏反應，通常透過減慢輸注速度或給予抗組織胺即可改善。
Red Man Syndrome is characterized by generalized pruritus and erythema, particularly affecting the face, neck, and upper chest, resulting from rapid histamine release during vancomycin infusion. This reaction is distinct from anaphylaxis and is typically managed by slowing the infusion rate.
✦ 台美臨床差異
台美皆強烈建議輸注至少需 60 分鐘以上，以預防此反應。護理評估觀念完全一致。