— 藥理與非經腸給藥 · MEDIUM · SATA —
護理師準備給藥,哪些藥物需要第二位護理師進行核對?(選所有適合的)
A nurse is preparing to administer several medications to a client. Which medications should the nurse identify as requiring a second nurse to verify? (Select all that apply.)
- AInsulin subcutaneous✓ 正解皮下注射胰島素
- BHeparin subcutaneous✓ 正解皮下注射肝素
- COral multivitamin口服多種維生素
- DIntravenous potassium chloride✓ 正解靜脈注射氯化鉀
- EIntravenous morphine✓ 正解靜脈注射嗎啡
— Explanation · 中文詳解 —
高警訊藥物(High-alert medications)若給藥錯誤,會對病人造成重大危害。因此,臨床實務中必須執行「雙人核對(Double check)」程序。胰島素、肝素、靜脈注射鉀離子以及嗎啡等類鴉片藥物,因治療範圍窄、錯誤後果嚴重,皆屬於高警訊藥物。口服維生素風險較低,不需特殊雙人核對。護理師必須熟悉醫院的高警訊藥物清單。
Insulin, heparin, intravenous potassium chloride, and intravenous morphine are classified as high-alert medications that require double-verification by a second nurse to prevent serious harm. Oral multivitamins are not considered high-alert and do not mandate this additional safety check during administration.