# 將每個神經肌肉阻斷劑的實踐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=522758&lang=zh-tw  
> language: zh-TW  
> subject: Adverse Effects/Contraindications/Interactions  
> category: PPT

## 題目

將每個神經肌肉阻斷劑的實踐拖曳到適當的安全類別中。

**1.** 儲存在帶有麻痺警告的鎖定隔離隔間中

Select a category
Unsafe practice
Protective barrier

**2.** 給藥前確認呼吸道控制、通氣、氧合、鎮靜和監測

Select a category
Unsafe practice
Protective barrier

**3.** 對病人、藥物、適應症和劑量進行必要的獨立核對

Select a category
Unsafe practice
Protective barrier

**4.** 放置在常規生理食鹽水沖洗液旁以便更快取用

Select a category
Unsafe practice
Protective barrier

**5.** 在通氣設備到達前給予未插管的病人

Select a category
Unsafe practice
Protective barrier

**6.** 僅憑瓶蓋顏色識別藥瓶而不閱讀標籤

Select a category
Unsafe practice
Protective barrier

## 解析

神經肌肉阻斷劑需要隔離和限制儲存、明確的麻痺警告、確認通氣和鎮靜可用，以及持續的呼吸道支持。隨意放置在病房、未通氣給藥以及僅依賴藥瓶蓋顏色是不安全的。

## 深入解析

快速回答
透過儲存、標籤、取用和通氣屏障來防止無聲麻痺錯誤。

為什麼這是正確的
麻痺的病人可能保持清醒，但無法呼吸或發出求救信號。在藥物到達床邊之前以及給藥之前，都需要多重獨立的安全措施。

簡單類比或心像
建立藥物安全鏈：識別線索群集，將其與藥物機制連結，停止可預防的暴露，穩定病人，並透過可測量的結果驗證反應。

記憶點
線索群集、藥物機制、保護性措施和可測量的再評估。

NCLEX 決策規則
選擇能預防最直接藥物相關危害的措施，同時保留對潛在病情的治療。

為什麼其他選項是錯誤的
依賴單一令人放心的數值、繼續可疑的暴露、繞過監測或延遲升級的選項會使藥物危害持續存在。References
1DailyMed: Vecuronium Bromide prescribing informationAdministration only by trained personnel with airway, ventilation, oxygenation, and reversal capability
2ISMP Targeted Medication Safety Best Practices for HospitalsSegregation, locked storage, prominent warnings, restricted access, and ventilation confirmation for neuromuscular blockers

## 臨床情境

藥物安全審查
核實適應症、當前評估、實驗室趨勢、時間、途徑、交互作用、授權行動和可測量的後續追蹤。

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