— 藥理與非經腸給藥 · MEDIUM · MCQ —
病人正在進行萬古黴素靜脈輸注，護理師觀察到病人的臉部、頸部及胸部潮紅，此時優先處理為何？
A client is receiving an intravenous infusion of vancomycin. The nurse notes flushing of the face, neck, and chest. What is the priority nursing action?
- ASlow the rate of the infusion✓ 正解減慢輸注速率
- BAdminister an antihistamine as ordered依醫囑給予抗組織胺
- CStop the infusion immediately立即停止輸注
- DObtain vital signs and notify the provider測量生命徵象並通知醫師
— Explanation · 中文詳解 —
這類紅人症候群（Red Man Syndrome）是由於藥物滴速過快導致組織胺釋放，而非真正的過敏反應。優先處置為減慢輸注速度，通常症狀會緩解。若已出現低血壓或呼吸窘迫，則需停藥並給予抗組胺劑，但輕微紅腫僅需減速。
The client is experiencing Red Man Syndrome, a histamine-mediated reaction caused by rapid vancomycin infusion rather than a true allergy. The priority nursing action is to slow the infusion rate, which typically resolves the flushing and discomfort.
✦ 台美臨床差異
美國護理師常依院內 protocol 決定減速，台灣臨床環境多需先諮詢醫師或藥師後再調整。