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藥理與非經腸給藥 · MEDIUM · SATA

病人被給予萬古黴素(Vancomycin)。護理師應將哪些發現視為「紅人症候群」的徵兆?(選所有適合的)

A client is administered Vancomycin. Which findings should the nurse identify as evidence of 'Red Man Syndrome'? (Select all that apply.)

  • AHypotension✓ 正解
    低血壓
  • BFlushing of the face and neck✓ 正解
    臉部與頸部潮紅
  • CPruritus✓ 正解
    搔癢
  • DWheezing
    喘鳴
  • ETachycardia✓ 正解
    心搏過速
Explanation · 中文詳解

紅人症候群是因萬古黴素輸注速度過快,導致組織胺大量釋放所引發的反應。常見徵兆包含頸部與臉部潮紅、搔癢、低血壓與心搏過速。喘鳴(Wheezing)通常屬於過敏性休克(Anaphylaxis)的氣道徵兆,非紅人症候群之必然表現。

Red Man Syndrome results from rapid histamine release during vancomycin infusion, causing flushing of the face and neck, pruritus, hypotension, and compensatory tachycardia. Wheezing is not a typical feature of this reaction and suggests anaphylaxis instead.

✦ 台美臨床差異

美國醫院常見使用泵浦設定強制減慢輸注速度,台灣護理師則常需手動計算並調整滴速。

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