— 藥理與非經腸給藥 · MEDIUM · MCQ —
一位病人因嚴重感染被處方給予靜脈輸注萬古黴素（Vancomycin）。輸注過程中，護理師應優先監測下列何者？
A client is prescribed intravenous vancomycin for a severe infection. Which finding should the nurse prioritize during the infusion?
- ASudden onset of hypotension and flushing✓ 正解突然出現的低血壓和潮紅
- BDevelopment of a low-grade fever出現低度發燒
- CMild elevation in serum creatinine levels血清肌酸酐水平輕微升高
- DPresence of localized redness at the IV site靜脈注射部位出現局部紅腫
— Explanation · 中文詳解 —
萬古黴素輸注過快常引起「紅人症候群（Red Man Syndrome）」，特徵為低血壓、臉部潮紅與軀幹瘙癢。這屬於過敏樣反應，應立即停止輸注並評估生命徵象。D 與 C 為長期副作用或導管相關問題，B 可能與感染本身有關，非輸注當下最危險的反應。
Sudden hypotension and flushing indicate Red Man Syndrome, a severe reaction caused by rapid vancomycin infusion that requires immediate intervention. While nephrotoxicity and local irritation are concerns, hemodynamic instability poses the greatest acute risk during administration.
✦ 台美臨床差異
台美皆嚴格要求根據體重與藥物濃度計算滴速，防止紅人症候群發生。