— 藥理與非經腸給藥 · HARD · MCQ —
護理師正在為病人靜脈輸注萬古黴素（Vancomycin）。護理師發現病人臉部與頸部潮紅。哪項行動最合適？
A nurse is administering vancomycin via IV piggyback to a client. The nurse notices the client's face and neck are flushing. Which action is most appropriate?
- AAdminister an antihistamine給予抗組織胺
- BStop the infusion immediately立即停止輸注
- CSlow the rate of infusion✓ 正解減慢輸注速率
- DNotify the healthcare provider通知醫療提供者
— Explanation · 中文詳解 —
「紅人症候群」（Red Man Syndrome）是萬古黴素（Vancomycin）輸注過快導致組織胺（Histamine）大量釋放的現象，而非過敏反應。處理原則是「減慢輸注速率」，通常症狀即可緩解。若直接停藥會中斷抗生素治療，若使用抗組織胺則屬過度處理，且不必要地干預治療流程。護理師應熟悉此藥物特性，以正確處理此常見副作用。
The client is experiencing Red Man Syndrome, a histamine-mediated reaction caused by rapid vancomycin infusion rather than a true allergy. The most appropriate nursing action is to slow the infusion rate, which typically alleviates the flushing symptoms. Antihistamines are not the primary intervention, and stopping the infusion is unnecessary unless signs of anaphylaxis develop.