— 藥理與非經腸給藥 · MEDIUM · SATA —
當護理師對病人靜脈輸注萬古黴素（vancomycin）時，應優先監測哪些項目？（選所有適合的）
Which of the following assessments should the nurse prioritize when administering IV vancomycin to a client? (Select all that apply.)
- ASerum creatinine levels✓ 正解血清肌酸酐濃度
- BInfusion rate✓ 正解輸注速率
- CRedness or flushing of the face and neck✓ 正解臉部及頸部潮紅
- DWhite blood cell count白血球計數
- EPeripheral pulses週邊脈搏
— Explanation · 中文詳解 —
Vancomycin 具腎毒性與耳毒性，需監測腎功能；輸注過快會引發紅人症候群（Red Man Syndrome），故監測輸注速率與皮膚紅斑至關重要。WBC 用於評估感染控制效果，非給藥時的立即性安全監測。
Vancomycin is nephrotoxic, so serum creatinine levels must be monitored to assess kidney function. Additionally, rapid infusion can cause Red Man Syndrome, characterized by facial and neck flushing due to histamine release, necessitating careful control of the infusion rate.
✦ 台美臨床差異
美國醫院藥劑師通常協助計算劑量，台灣護理師在給藥時需特別注意單位毫克數與輸注時間的正確性。