— 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。