— 藥理與非經腸給藥 · MEDIUM · MCQ —
病人正在接受萬古黴素（Vancomycin）靜脈輸注，護理師應監測哪種「紅人症候群」徵兆？
A client is receiving vancomycin IV. Which sign should the nurse monitor for 'Red Man Syndrome'?
- AGeneralized urticaria and pruritus全身性蕁麻疹與搔癢
- BWheezing and dyspnea喘鳴與呼吸困難
- CHypotension and flushing of the upper body✓ 正解低血壓與上半身潮紅
- DSevere hypertension and headache嚴重高血壓與頭痛
— Explanation · 中文詳解 —
紅人症候群（Red Man Syndrome）是因萬古黴素滴注過快導致組織胺釋放所致。典型徵兆包括上半身（臉、頸、胸）潮紅、低血壓、搔癢等。這不是真正的過敏反應（Anaphylaxis），後者通常伴隨嚴重的呼吸道阻塞（如喘鳴），須細心鑑別。
Red Man Syndrome is a histamine-mediated reaction caused by rapid vancomycin infusion, characterized by flushing of the upper body and hypotension. It is distinct from true anaphylaxis, which typically presents with wheezing and respiratory distress.
✦ 台美臨床差異
美台臨床對於萬古黴素滴速規範一致，皆建議至少 60 分鐘內滴完以避免此反應。