— 藥理與非經腸給藥 · EASY · MCQ —
護理師正在為病人靜脈輸注萬古黴素，病人突發臉部、頸部及上半身潮紅。護理師首要採取哪項行動？
A nurse is administering a dose of intravenous Vancomycin to a client. The client suddenly develops flushing of the face, neck, and upper torso. What is the nurse's most appropriate initial action?
- ASlow the rate of the infusion✓ 正解減慢輸注速率
- BStop the infusion immediately立即停止輸注
- CNotify the physician of an allergic reaction通知醫師發生過敏反應
- DAdminister an antihistamine給予抗組織胺
— Explanation · 中文詳解 —
此臨床表現為紅人症候群（Red Man Syndrome），這是萬古黴素輸注過快引起的組織胺釋放，而非真正的過敏反應。減慢輸注速度通常可緩解症狀。完全停止給藥往往過於激進，而抗組織胺雖能減輕症狀，但首要的矯正措施是針對輸注速度進行調整。
The described symptoms indicate Red Man Syndrome, caused by rapid histamine release due to fast vancomycin infusion rather than a true allergy. The nurse’s priority action is to slow the infusion rate, which typically resolves the flushing and discomfort without needing to stop the medication entirely.
✦ 台美臨床差異
台美臨床對於紅人症候群的處理邏輯一致，均強調先調整速度再觀察。