— 藥理與非經腸給藥 · MEDIUM · SATA —
護理師正在進行靜脈點滴組合（piggyback）給藥。觀察到哪項評估結果需立即停止輸注？（選所有適合的）
A nurse is administering a piggyback medication. Which assessment finding requires the nurse to immediately stop the infusion? (Select all that apply.)
- AClient reports throat tightness and itching✓ 正解病人主訴喉嚨緊繃及搔癢
- BInfiltration at the peripheral IV site周邊靜脈注射部位發生浸潤
- CClient reports mild metallic taste病人主訴輕微的金屬味
- DDevelopment of hives on the chest✓ 正解胸部出現蕁麻疹
- ESudden onset of wheezing✓ 正解突然出現喘息聲
— Explanation · 中文詳解 —
出現喉嚨緊繃、蕁麻疹、哮喘音（Wheezing）均為過敏性休克（Anaphylaxis）的典型徵兆。這是藥物輸注中最嚴重的緊急狀況，護理師需立即停止輸注並維持靜脈管路暢通，準備急救藥物（如腎上腺素），並通知醫療團隊進行進一步急救措施。
Throat tightness, hives, and wheezing are classic signs of anaphylaxis, a severe and potentially life-threatening allergic reaction requiring immediate cessation of the infusion. These symptoms indicate airway compromise and systemic hypersensitivity, necessitating urgent intervention with emergency medications such as epinephrine.
✦ 台美臨床差異
兩地對抗過敏性休克的 Protocol 高度一致，皆強調停止輸注與立即使用腎上腺素。