— 降低風險 · MEDIUM · MCQ —
護理師準備經由鼻胃管給藥，下列哪項做法符合正確護理規範？
A nurse is preparing to administer a medication via an NG tube. Which of the following actions demonstrates correct nursing practice?
- ACheck tube placement before administering medication✓ 正解給藥前檢查管路位置
- BMix medication with enteral feeding formula將藥物與腸道營養配方混合
- CFlush with 5 mL of water after each medication每次給藥後以 5 mL 水沖洗
- DCrush all medications together to save time將所有藥物一起磨碎以節省時間
— Explanation · 中文詳解 —
經鼻胃管給藥必須確保管道位置正確，這是預防誤吸的關鍵。藥物應分開研磨給予，以避免交互作用或管道阻塞；不可直接混入灌食配方中；每次沖管至少需 15-30 mL 水，5 mL 不足以清潔管道。確保病人給藥安全是護理師首要職責。
Verifying nasogastric tube placement is the essential first step to ensure the medication is delivered into the stomach and to prevent accidental aspiration into the lungs. Medications should be administered individually with adequate flushing (15–30 mL) rather than mixed with formula or crushed together to avoid clogging or drug interactions.
✦ 台美臨床差異
美台針對鼻胃管給藥的「分開給藥」與「沖管量」原則一致，但美國醫院常有專用藥物研磨設備。