— 藥理與非經腸給藥 · HARD · MCQ —
病人正在輸注萬古黴素（vancomycin）。輸注期間出現哪種現象，護理師需立即介入？
A client is prescribed vancomycin. Which finding during infusion warrants immediate intervention by the nurse?
- AUrine output of 40 mL/hr每小時尿量 40 mL
- BSlight shivering輕微顫抖
- CFlushing of the face and neck✓ 正解臉部與頸部潮紅
- DMild nausea輕微噁心
— Explanation · 中文詳解 —
紅人症候群（Red Man Syndrome）是萬古黴素（Vancomycin）輸注速度過快時引起的非免疫性組織胺釋放現象，表現為面、頸、軀幹上部的潮紅、搔癢與低血壓。這是臨床輸注萬古黴素時常見的嚴重副作用，護理師一旦觀察到此現象，必須立即暫停或減慢輸注速率，並評估生命徵象，嚴重時需通知醫師給予抗組織胺。
Flushing of the face and neck indicates Red Man Syndrome, a histamine-mediated reaction caused by infusing vancomycin too rapidly, which requires immediate intervention such as slowing the infusion rate. While mild nausea or slight shivering may occur, they are less critical than the signs of Red Man Syndrome, and normal urine output suggests adequate renal function without immediate concern.