# 請將每個腸道管路給藥措施拖曳到適當的安全類別中。

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=522667&lang=zh-tw  
> language: zh-TW  
> subject: Adverse Effects/Contraindications/Interactions  
> category: PPT

## 題目

請將每個腸道管路給藥措施拖曳到適當的安全類別中。

**1.** 核實管路位置和藥物配方

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Protective practice

**2.** 在單獨給藥前和藥物之間用水沖洗

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Protective practice

**3.** 在壓碎不熟悉的劑型前諮詢藥師

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Protective practice

**4.** 將所有藥物與配方奶混合

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Protective practice

**5.** 將可樂作為堵塞管路的首要處理方式

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Protective practice

**6.** 用堅硬物體強行推入藥片碎片

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Protective practice

## 解析

安全的腸道給藥實踐包括核實管路位置、使用水沖洗、單獨給藥，並就藥物配方或餵食交互作用尋求藥師指導。將藥物混合在一起、加入配方奶中或使用可樂清除堵塞是不安全的。

## 深入解析

快速解答
將 核實和水基技術與會產生交互作用或阻塞的捷徑 分開。

為何這是正確的
餵食管是一種通路裝置，而非混合容器。藥物配方、管路位置、沖洗量、餵食交互作用和堵塞處理都需要仔細檢查。

簡單類比或心像
將每次輸注視為受控的臨床系統：核實產品和通路、識別變化的跡象、停止可預防的暴露、穩定病人並確認反應。

記憶點
產品、通路、相容性、輸注跡象、保護措施和再評估。

NCLEX 決策規則
選擇能預防最直接輸注相關傷害的措施，同時保留血管通路和醫囑診斷證據。

為何其他選項是錯誤的
重新啟動可疑產品、繞過安全裝置、強行疏通阻塞導管或延遲再評估的選項，可能將可逆的警訊轉變為嚴重傷害。References
1ASPEN Safe Practices for Enteral Nutrition TherapyTube-location verification, water flushing, separate medication administration, and evidence-based clog prevention and management

## 臨床情境

血液製品、營養和靜脈輸液安全審查
核實產品、處方、途徑、通路裝置、過濾器或管路、相容性、基準發現、新出現的不良跡象、應對計畫和可衡量的追蹤。

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