— 藥理與非經腸給藥 · HARD · SATA —
下列哪些藥物在給藥前需要兩位護理師雙重核對？（選所有適合的）
Which of the following medications requires double-checking by two nurses before administration? (Select all that apply.)
- AHeparin✓ 正解肝素
- BInsulin✓ 正解胰島素
- CDigoxin地高辛
- DPotassium chloride (IV)✓ 正解氯化鉀（靜脈注射）
- EAcetaminophen乙醯胺酚
— Explanation · 中文詳解 —
高警訊藥物（High-Alert Medications）是指若給藥錯誤會對病人造成重大傷害的藥物。常見包括肝素、胰島素、靜脈注射鉀離子等。Digoxin 雖然需測量心跳，但通常不列入強制雙人核對清單。Acetaminophen 一般無需雙人核對。
High-alert medications, such as heparin, insulin, and intravenous potassium chloride, carry a heightened risk of causing significant patient harm if administered incorrectly. Therefore, these agents require independent double-checking by two nurses prior to administration to ensure patient safety.
✦ 台美臨床差異
美國醫院針對高警訊藥物有嚴格規範，台灣醫院評鑑亦已落實此標準，兩者臨床操作高度一致。