— 藥理與非經腸給藥 · MEDIUM · MCQ —
病人正在進行萬古黴素（Vancomycin）輸注，護理師觀察到病人臉部與頸部潮紅。優先護理措施為何？
A client is receiving an infusion of vancomycin. The nurse observes flushing of the face and neck. What is the priority nursing action?
- ASlow the rate of infusion✓ 正解減緩輸注速度
- BAdminister an antihistamine施用抗組織胺
- CDiscontinue the infusion immediately立即停止輸注
- DNotify the physician for an epinephrine order通知醫師開立腎上腺素醫囑
— Explanation · 中文詳解 —
臉頸潮紅是萬古黴素常見的紅人症（Red Man Syndrome），這是由於輸注速度過快導致組織胺釋放，而非真正的過敏性反應。因此，降低輸注速度通常可緩解症狀。若直接停藥或誤判為嚴重過敏將影響治療進度。
Facial and neck flushing indicates Red Man Syndrome, a histamine-mediated reaction caused by rapid vancomycin infusion rather than a true allergy. The priority action is to slow the infusion rate, which typically resolves the symptoms without discontinuing the therapy.
✦ 台美臨床差異
兩地臨床皆依據相同的藥理準則處理紅人症，無顯著差異。