— 藥理與非經腸給藥 · MEDIUM · MCQ —
病人正在接受萬古黴素靜脈輸注，護理師觀察到病人臉部、頸部及上胸部潮紅。護理師應先採取何種行動？
A client is receiving vancomycin IV. The nurse notes flushing of the face, neck, and upper chest. Which action should the nurse take first?
- ASlow the rate of infusion✓ 正解減慢輸注速率
- BAdminister an antihistamine給藥抗組織胺
- CDiscontinue the infusion停止輸注
- DNotify the provider通知醫師
— Explanation · 中文詳解 —
萬古黴素（Vancomycin）若輸注過快，會導致組織胺（Histamine）大量釋放，引發紅人症候群（Red Man Syndrome）。臨床表現為臉、頸、胸部潮紅、低血壓及搔癢。當觀察到此現象時，護理師應立即放慢輸注速度（Slow the rate），這通常足以緩解症狀。若狀況持續或惡化，才考慮停藥或給予抗組織胺。
The client is exhibiting signs of Red Man Syndrome, a histamine-mediated reaction resulting from a vancomycin infusion administered too rapidly. The priority nursing action is to slow the infusion rate, as this directly addresses the cause and typically resolves the flushing and discomfort. Discontinuing the medication is unnecessary unless symptoms persist despite rate adjustment or indicate anaphylaxis.