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審查 IVIG 輸注趨勢並確定優先解釋和應對措施。

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Time	Data
Before infusion	Age 76 years; chronic kidney disease; limited mobility; creatinine 1.4 mg/dL; urine output 45 mL/hr; hydration completed年齡 76 歲；慢性腎臟病；活動受限；肌酸酐 1.4 mg/dL；尿量 45 mL/hr；已完成水合。
30 minutes	Minimum prescribed rate; BP 132/74 mm Hg; no symptoms; urine output unchanged最低處方速率；血壓 132/74 mm Hg；無症狀；尿量未變。
90 minutes	Rate advanced; new right calf pain and swelling; SpO2 decreased from 97 percent to 91 percent速率已提高；新的右小腿疼痛和腫脹；血氧飽和度從 97 percent 下降至 91 percent。
2 hours	Urine output 15 mL/hr; creatinine 1.9 mg/dL; client reports new shortness of breath尿量 15 mL/hr；肌酸酐 1.9 mg/dL；病人報告新的呼吸急促。

Q1. Which interpretation is the priority?哪項解釋是優先的？

Expected mild rate-related discomfort only僅是預期的輕微速率相關不適 Possible thrombotic and renal complications during IVIGIVIG 期間可能出現血栓和腎臟併發症 Improved renal perfusion from the faster rate較快速率改善了腎臟灌注

Q2. Which response is appropriate?哪項應對措施是適當的？

Increase the rate to finish the dose sooner增加速率以更快完成劑量 Continue at the same rate and reassess tomorrow以相同速率繼續並明天再評估 Stop the infusion, assess airway and circulation, notify the authorized team, and initiate urgent evaluation停止輸注，評估呼吸道和循環，通知授權團隊，並啟動緊急評估 Give a diuretic without an order and restart immediately未經醫囑給予利尿劑並立即重新開始

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