— 藥理與非經腸給藥 · MEDIUM · MCQ —
護理師照顧一位靜脈注射萬古黴素（Vancomycin）的病人。輸注期間病人出現潮紅、心搏過速及低血壓，護理師應優先採取何種措施？
A nurse is caring for a client who is prescribed vancomycin IV. The client develops flushing, tachycardia, and hypotension during the infusion. Which action should the nurse take first?
- ANotify the physician通知醫師
- BSlow the rate of the infusion減緩輸注速度
- CAdminister an antihistamine給予抗組織胺
- DStop the infusion immediately✓ 正解立即停止輸注
— Explanation · 中文詳解 —
病人出現紅人症候群（Red Man Syndrome）且伴隨低血壓與心搏過速，此為嚴重的輸注反應。首要原則是立即中斷輸注以移除過敏原，隨後評估生命徵象並聯繫醫師。減慢速度僅適用於輕微症狀，此處已有血流動力學不穩定跡象，停止給藥為優先。
The client is exhibiting signs of Red Man Syndrome, a severe infusion reaction characterized by flushing, tachycardia, and hypotension. The nurse must stop the infusion immediately to prevent further progression of the reaction and ensure client safety. Slowing the rate or administering antihistamines are secondary actions taken after the infusion is halted.
✦ 台美臨床差異
台美皆遵循相同緊急停藥標準，但美國護理師常依 Standing order 給予抗過敏藥物。