— 降低風險 · MEDIUM · MCQ —
護理師準備進行 IV Piggyback 給藥。優先的護理措施為何？
A nurse is preparing to administer IV piggyback medication. What is the priority nursing action?
- AChange the primary IV tubing更換主要靜脈輸液管路
- BVerify the compatibility of the piggyback medication with the primary solution✓ 正解確認附加輸液藥物與主要溶液的相容性
- CAdjust the primary flow rate to match the piggyback調整主要輸液流速以配合附加輸液
- DFlush the primary line with saline before adding the piggyback在加入附加輸液前以生理食鹽水沖洗主要管路
— Explanation · 中文詳解 —
靜脈輸注併用時，最嚴重的風險是藥物交互作用與沉澱。因此，確保 Piggyback 藥物與主線輸液（Primary solution）的相容性（Compatibility）是給藥安全的首要任務。若不相容會導致沉澱，造成嚴重的栓塞風險。
When administering IV piggyback medications, the priority action is to verify the compatibility between the piggyback drug and the primary solution. Incompatibility can lead to precipitation within the IV line, which poses a serious risk of embolism. Ensuring chemical compatibility is essential for patient safety before proceeding with administration.
✦ 台美臨床差異
兩國皆極度重視藥物相容性評估（Compatibility Checking），這是護理安全教育的核心。