— 藥理與非經腸給藥 · MEDIUM · MCQ —
一位使用靜脈注射萬古黴素（Vancomycin）的病人出現臉部、頸部與上胸部潮紅，護理師的首要行動為何？
A nurse is caring for a client receiving vancomycin IV. The client develops flushing of the face, neck, and upper chest. What is the nurse's priority action?
- ACall the physician呼叫醫師
- BAdminister an antihistamine給予抗組織胺
- CSlow the rate of the infusion✓ 正解減慢輸注速率
- DStop the infusion immediately立即停止輸注
— Explanation · 中文詳解 —
此症狀為「紅人症」（Red Man Syndrome），是因萬古黴素滴注過快造成組織胺釋放所引起的類過敏反應。處理原則是減慢滴注速度，若症狀緩解則可繼續。此並非嚴重的過敏性休克（Anaphylaxis），不需立即終止輸液，但需調整速度以緩解症狀，減慢後若無改善才考慮停止。
This presentation indicates Red Man Syndrome, a non-allergic reaction resulting from rapid vancomycin administration causing histamine release. The nurse should slow the infusion rate to resolve symptoms, as stopping the infusion is unnecessary unless the reaction is severe or unresponsive to rate adjustment.
✦ 台美臨床差異
台美兩地皆將此定義為輸注速率相關反應，而非過敏反應。