[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-1-medical-surgical-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":10},"nurse-106-1-內外科護理學-032","nurse-106-1-medical-surgical-032",106,1,32,"有關心衰竭病人使用多巴胺（dopamine）之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"初時應以高劑量迅速緩解病人症狀","低劑量使用可增加腎臟血流量","中劑量使用可使血管收縮血壓上升","高劑量使用可增加心臟收縮力","B",null,[],"本題考點為dopamine於心衰竭的劑量依賴藥理。低劑量（約1～3μg\u002Fkg\u002Fmin）作用於多巴胺受體，擴張腎血管、增加腎血流與尿量，B正確。A錯，應由低劑量漸調而非一開始即高劑量；C錯，使血管收縮、血壓上升是高劑量透過α受體的作用，非中劑量；D錯，增加心臟收縮力是中劑量透過β1受體的作用，非高劑量，故選B。","dopamine三段劑量口訣：低（腎臟dopamine受體，利尿保腎）→中（β1，強心增收縮力與心輸出）→高（α1，血管收縮升壓）。選項C、D把中、高劑量作用對調，是常見陷阱。臨床由低往高滴定。",[24,26,28,30,32],{"term":25,"count":10},"dopamine",{"term":27,"count":10},"劑量依賴作用",{"term":29,"count":10},"多巴胺受體",{"term":31,"count":10},"β1受體",{"term":33,"count":10},"α受體血管收縮",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-1-medical-surgical-033","病人下肢出現腫脹、發紅、溫熱感且霍曼氏徵象（Homan’s Sign）呈陽性反應，下列何者為其最有可能的診斷？",33,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-106-2-medical-surgical-049","有關全身性紅斑性狼瘡的診斷檢查結果，下列何者錯誤？",49,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-107-1-medical-surgical-063","有關腎盂腎炎之敘述，下列何者錯誤？",63,107,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-108-2-medical-surgical-021","有關喉癌的臨床表徵，下列何者正確？",21,108,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-109-2-medical-surgical-065","腎臟肌酸酐清除率（CCr）正常值範圍是多少 mL\u002Fmin？",65,109,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-111-1-medical-surgical-019","王先生開放性骨折日前出院返家，近日發燒、寒顫、躁動不安、患肢持續性疼痛及拒絕移動關節或觸碰患肢。下列何者為其最可能的合併症？",19,111,"2026-09-04",1788510692941]