— 降低風險 · EASY · MCQ —
準備給予靜脈點滴藥物（IV piggyback）時，護理師應優先執行哪項措施？
Which of the following actions should the nurse prioritize when preparing to administer an IV piggyback medication?
- ACheck the patient's ID band檢查病人識別手環
- BEnsure the medication is compatible with the primary IV solution✓ 正解確保藥物與主要靜脈輸液相容
- CPerform hand hygiene執行手部衛生
- DSet the secondary infusion rate設定次要輸注速率
— Explanation · 中文詳解 —
藥物配伍禁忌是臨床給藥安全的核心。若藥物與主線溶液不相容，混合後可能產生沉澱或導致藥效失效。雖然核對病人身份與洗手是執行程序的基礎，但從藥物動力學風險來看，確保配伍相容性是防止嚴重輸液副作用的最關鍵步驟。
Ensuring medication compatibility with the primary IV solution is the priority to prevent precipitation or loss of drug efficacy, which poses a direct chemical safety risk. While patient identification and hand hygiene are essential procedural steps, they do not address the specific pharmacological hazard of incompatibility.
✦ 台美臨床差異
台灣醫院多有電子藥物配伍查詢系統，護理師依賴系統核對；美國護理師常需依據藥典或專業知識進行初步判斷。