— 藥理與非經腸給藥 · MEDIUM · MCQ —
病人正在靜脈滴注萬古黴素 (Vancomycin)。護理師發現病人臉部、頸部及上半身出現潮紅。優先護理處置為何？
A client is receiving an intravenous infusion of Vancomycin. The nurse notes the client has developed redness of the face, neck, and upper torso. What is the priority nursing action?
- AAdminister an antihistamine給予抗組織胺
- BSlow the rate of the infusion✓ 正解減慢輸注速率
- CCall the physician for a new order致電醫師以獲取新醫囑
- DDiscontinue the infusion immediately立即停止輸注
— Explanation · 中文詳解 —
此症狀為萬古黴素常見的「紅人症候群」（Red Man Syndrome），通常是因為輸注速度過快導致組織胺釋放所致。處理原則為減慢滴速或暫停輸注，待症狀緩解後再以較慢速度恢復。不需立即停藥或給予抗組織胺，除非症狀嚴重。
The symptoms described indicate Red Man Syndrome, which is caused by rapid infusion of vancomycin leading to histamine release. The priority nursing action is to slow the infusion rate, which typically resolves the flushing reaction without discontinuing the medication.
✦ 台美臨床差異
美台臨床對於紅人症的處置一致，強調緩慢滴速而非直接停藥。