— 藥理與非經腸給藥 · MEDIUM · MCQ —
病人正在進行萬古黴素靜脈輸注，護理師觀察到臉部、頸部與胸部潮紅。護理師的首要行動為何？
A client is receiving vancomycin IV. The nurse notes flushing of the face, neck, and chest. What is the nurse's priority action?
- ANotify the physician通知醫師
- BSlow the rate of the infusion✓ 正解減慢輸注速率
- CAdminister an antihistamine immediately立即給予抗組織胺
- DStop the infusion immediately立即停止輸注
— Explanation · 中文詳解 —
這是典型的「紅人症候群」（Red Man Syndrome），由萬古黴素輸注速度過快引發組織胺釋放引起。處理方式是減慢輸注速度或停止輸注後評估。臨床首選是減慢輸注速率，通常症狀即可緩解，不需立刻停藥或額外給藥。
The client is experiencing Red Man Syndrome, 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 symptoms. Immediate discontinuation or antihistamine administration is not required unless severe hypotension or other complications develop.
✦ 台美臨床差異
兩地對紅人症候群的處置一致，強調減慢速度而非直接視為過敏。