— 藥理與非經腸給藥 · HARD · SATA —
下列哪些藥物在給藥前需要兩位護理師進行雙重核對?(選所有適合的)
Which of the following medications require a double-check by two nurses before administration? (Select all that apply.)
- AInsulin✓ 正解胰島素
- BHeparin✓ 正解肝素
- CDigoxin✓ 正解地高辛
- DMagnesium sulfate✓ 正解硫酸鎂
- EAcetaminophen乙醯胺酚
— Explanation · 中文詳解 —
高警訊藥物 (High-Alert Medications) 如胰島素、肝素、強心劑(地高辛)及電解質(硫酸鎂),因錯誤用藥風險極高,臨床規範必須執行雙重核對 (Double-check)。乙醯胺酚屬常用非處方藥,無需特殊雙人確認。
Insulin, heparin, digoxin, and magnesium sulfate are classified as high-alert medications due to their narrow therapeutic indices and high risk of severe adverse events if administered incorrectly. Therefore, clinical safety protocols mandate a double-check by two qualified nurses before administration to prevent medication errors.
✦ 台美臨床差異
台美醫院皆有高警訊藥物清單管理,但台灣部分醫院的電子給藥系統已整合自動雙重確認流程。