[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-106-1-medical-surgical-001":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":60},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":10,"stem":11,"options":12,"answer":17,"answerNote":18,"images":19,"explanation":20,"explanationDeep":21,"topics":22,"freq":25},"nurse-106-1-內外科護理學-001","nurse-106-1-medical-surgical-001",106,1,"有關巴金森氏病治療之敘述，下列何者正確？",{"A":13,"B":14,"C":15,"D":16},"Sinemet 無法通過腦血管障壁（BBB）","on-off 反應為 Levodopa 之副作用","Artane 是一種補充 Dopamine 的藥物","服用 Levodopa 應併用 Vit. B 6 以增加藥效","B",null,[],"本題考點為巴金森氏病的藥理學。依 Levodopa 長期使用的藥效波動特性,病人會出現「開關(on-off)現象」,即藥效突然由有效轉為無效,屬其重要副作用,故B正確。A錯,Sinemet(carbidopa 加 levodopa)中的 levodopa 可通過腦血管障壁再轉為多巴胺;C錯,Artane(trihexyphenidyl)是抗膽鹼藥物,用於減少震顫而非補充多巴胺;D錯,維生素B6會加速 levodopa 在周邊代謝、反而降低療效,應避免併用。","多巴胺本身無法通過腦血管障壁,故給前驅物 levodopa;加 carbidopa 抑制周邊脫羧酶,減少周邊轉換與噁心並增加入腦量。B6 是脫羧酶輔酶,會助長周邊代謝,恰與 carbidopa 目的相反。on-off 與劑末惡化(wearing-off)是長期治療的兩大波動難題。",[23,26,28,30],{"term":24,"count":25},"抗膽鹼藥物",2,{"term":27,"count":10},"Levodopa",{"term":29,"count":10},"on-off現象",{"term":31,"count":10},"腦血管障壁",[33,36,40,45,50,55],{"webId":34,"stem":35,"number":25,"year":9,"session":10},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",{"webId":37,"stem":38,"number":39,"year":9,"session":25},"nurse-106-2-medical-surgical-018","有關軟組織損傷之敘述，下列何者錯誤？",18,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-107-1-medical-surgical-032","針對長期口服 Warfarin（Coumadin）病人，應定期監測下列何項檢驗值？",32,107,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-108-1-medical-surgical-070","下列何者最可能造成病人出現昏迷、呼吸快而深、血清有效滲透壓 300 mOsm\u002Fkg、血糖值 400 mg\u002FdL 的臨床表徵？",70,108,{"webId":51,"stem":52,"number":53,"year":54,"session":25},"nurse-109-2-medical-surgical-034","心衰竭病人之心電圖持續出現明顯 U 波，在給予藥物時，應注意下列何種藥物可能有中毒的危險？",34,109,{"webId":56,"stem":57,"number":58,"year":59,"session":25},"nurse-110-2-medical-surgical-068","有關甲狀腺功能亢進病人的護理處置，下列何者正確？",68,110,"2026-09-04",1788510692605]