— 藥理與非經腸給藥 · MEDIUM · MCQ —
病人正因 MRSA 感染接受萬古黴素（Vancomycin）治療。點滴進行中，病人出現臉部與頸部潮紅。優先採取哪項行動？
A client is receiving vancomycin for a MRSA infection. During the infusion, the client develops flushing of the face and neck. Which action is the priority?
- AStop the infusion immediately立即停止點滴
- BAdminister an antihistamine給予抗組織胺
- CObtain a set of vital signs測量一組生命徵象
- DSlow the rate of infusion✓ 正解減慢點滴速率
— Explanation · 中文詳解 —
此臨床表現稱為紅人症候群（Red Man Syndrome），是因萬古黴素輸注速度過快導致組織胺釋放。處置首選是減慢輸注速率，而非完全中斷藥物，因為中斷後可能影響療程。減慢後症狀通常會緩解。若生命徵象穩定，無需立即停藥。
The client is experiencing Red Man Syndrome, a histamine-mediated reaction caused by rapid vancomycin infusion. The priority nursing action is to slow the infusion rate, which typically resolves the flushing and discomfort without discontinuing the medication.
✦ 台美臨床差異
美台臨床皆視此為常見非過敏性反應，護理標準作業程序皆一致。