— 降低風險 · MEDIUM · SATA —
護理師照護一名剛留置周邊置入中心靜脈導管（PICC）的病人，需監測哪些併發症？（選所有適合的）
A nurse is caring for a client with a new peripherally inserted central catheter (PICC). Which complications should the nurse monitor for? (Select all that apply.)
- APhlebitis✓ 正解靜脈炎
- BCatheter occlusion✓ 正解導管阻塞
- CInfiltration浸潤
- DCatheter-related bloodstream infection✓ 正解導管相關性血液感染
- EPneumothorax氣胸
— Explanation · 中文詳解 —
PICC 常見併發症包括靜脈炎（Phlebitis）、導管阻塞（Occlusion）及導管相關血流感染（CRBSI）。氣胸（Pneumothorax）在 PICC 中極為罕見，因其置入部位為周邊血管而非鎖骨下靜脈，浸潤（Infiltration）雖可能發生，但臨床上較少作為中心導管的主要監測指標。
The nurse should monitor for phlebitis, catheter occlusion, and catheter-related bloodstream infections, as these are common complications associated with PICC lines. Pneumothorax is a risk for central lines placed in the subclavian or jugular veins, not typically for PICCs, and infiltration is more characteristic of peripheral IVs.
✦ 台美臨床差異
台灣針對 PICC 的照護多由專科護理師或受訓過的護理師執行，美國則更普及由血管通路護理師（Vascular Access Nurse）專責。