護理師準備掛上一袋靜脈 Vancomycin。為了預防哪種併發症,應滴注至少 60 分鐘?
A nurse is preparing to hang a bag of IV Vancomycin. The nurse plans to infuse it over at least 60 minutes to prevent which complication?
- AHyperglycemia高血糖
- BHypertension高血壓
- CExtravasation外滲
- DRed Man Syndrome✓ 正解紅人症候群
Vancomycin(萬古黴素)是一種廣效抗生素,主要用於治療革蘭氏陽性菌引起的嚴重感染,特別是耐甲氧西林金黃色葡萄球菌(Methicillin-resistant Staphylococcus aureus, MRSA)感染。由於其獨特的藥理特性,Vancomycin 必須以緩慢的速度靜脈滴注。如果滴注速度過快,可能會引發一系列不良反應,其中最典型且需特別警惕的就是「紅人症候群」。 紅人症候群(Red Man Syndrome)是一種非過敏性(Non-allergic)的輸注相關反應,由組織胺(Histamine)快速釋放引起。護理師有責任確保藥物以適當的速度輸注,通常建議至少滴注 60 分鐘或更長時間(對於更高劑量),以預防此併發症的發生,確保病人的用藥安全和舒適度。
Vancomycin must be infused slowly, typically over at least 60 minutes, to prevent Red Man Syndrome. This condition is a rate-dependent, non-allergic infusion reaction caused by rapid histamine release, leading to flushing and hypotension. Slowing the infusion rate minimizes this risk, whereas factors like hyperglycemia or extravasation are not directly prevented by infusion speed.