— 藥理與非經腸給藥 · MEDIUM · MCQ —
病人正在接受靜脈輸注萬古黴素（Vancomycin）。護理師發現病人臉部、頸部及上胸部潮紅。優先的護理處置為何？
A nurse is caring for a client receiving IV Vancomycin. The nurse notes the client has developed flushing of the face, neck, and upper chest. What is the priority nursing intervention?
- AIncrease the IV fluid rate to flush the drug增加靜脈輸液速率以沖刷藥物
- BSlow the rate of the infusion✓ 正解減緩輸注速率
- CStop the infusion and notify the provider停止輸注並通知醫師
- DAdminister an antihistamine給予抗組織胺藥物
— Explanation · 中文詳解 —
此臨床表現稱為紅人症候群（Red Man Syndrome），是因為萬古黴素滴注過快導致組織胺釋放所致。當發生此狀況時，首要措施是調慢輸注速率，並評估生命徵象。若症狀緩解則可繼續，若伴隨低血壓則需依醫囑停止並處理。
The client is experiencing Red Man Syndrome, a histamine-mediated reaction caused by rapid vancomycin infusion. The priority intervention is to slow the infusion rate to reduce histamine release and alleviate symptoms such as flushing. Stopping the infusion is reserved for severe reactions or anaphylaxis.
✦ 台美臨床差異
美台臨床對於紅人症候群處置一致，強調調慢滴速與監測血壓的重要性。