— 藥理與非經腸給藥 · MEDIUM · SATA —
下列哪些藥物屬於高警訊藥物(high-alert medications),需要兩位護理師雙重核對?(選所有適合的)
Which of the following medications are classified as high-alert medications that require a double-check by two nurses? (Select all that apply.)
- AIntravenous insulin✓ 正解靜脈注射胰島素
- BIntravenous potassium chloride✓ 正解靜脈注射氯化鉀
- COral acetaminophen口服乙醯胺酚
- DIntravenous heparin infusion✓ 正解靜脈注射肝素輸注
- EIntravenous morphine✓ 正解靜脈注射嗎啡
— Explanation · 中文詳解 —
高警訊藥物指若使用錯誤會對病人造成重大傷害的藥品。胰島素、靜脈鉀離子、肝素與靜脈鴉片類止痛藥均屬此類,需嚴格執行雙人核對流程。口服普拿疼雖然常見,但除非有特殊劑量限制或給藥路徑變更,通常不列為一般給藥程序的雙重核對項目。重點在於減少給藥錯誤對生命造成的威脅。
Intravenous insulin, potassium chloride, heparin infusions, and morphine are high-alert medications that require double-checking due to the risk of severe harm, such as hypoglycemia, fatal arrhythmias, hemorrhage, or respiratory depression. Oral acetaminophen is not typically classified as a high-alert medication requiring this level of verification.
✦ 台美臨床差異
台美皆嚴格執行高警訊藥物雙人核對制度,但台灣評鑑標準通常將定義範圍統一列入醫院給藥政策中。