[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-1-psychiatric-community-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"精神科與社區衛生護理學","psychiatric-community",{"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-精神科與社區衛生護理學-011","nurse-106-1-psychiatric-community-011",106,1,11,"用鋰鹽的病人，若服用以下那類藥物會引起鋰鹽在血液的濃度增加之危險，下列何項正確？①血清素及甲基腎上腺回收抑制劑（serotonin and norepinephrine reuptake inhibitor, SNRI，如 venlafaxine） ②血管收縮素轉換酵素抑制劑（angiotension-coverting enzyme inhibitor, ACE-inhibitor，如抗高血壓藥，captopril） ③非類固醇抗發炎劑（non-steroid anti-inflammatory drug, NSAID，如 ibuprofen） ④利尿劑（如 thiazide）",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","D",null,[],"本題考點在辨識哪些藥物會經腎臟機轉抬高血中鋰鹽濃度。鋰鹽幾乎完全由腎臟排除,凡降低腎絲球過濾率、或促使腎小管代償性再吸收鈉(連帶鋰)者,都會使鋰鹽蓄積中毒。②ACE抑制劑(captopril)降低腎血流與過濾、③NSAID(ibuprofen)抑制腎臟前列腺素使腎血流下降、④thiazide利尿劑造成失鈉後代償回收鋰,三者皆升高鋰鹽濃度,故選D(②③④)。①SNRI(venlafaxine)與鋰鹽併用主要增加的是血清素症候群風險,而非直接抬高鋰鹽血中濃度,凡含①的A、B、C皆可刪去。","鋰鹽在腎小管與鈉「共命運」:身體缺鈉時會把鋰當鈉一起回收。ACE抑制劑、NSAID、thiazide 三者殊途同歸——不是減少腎血流就是促成缺鈉再吸收,都讓排鋰變慢。治療濃度約 0.6–1.2 mEq\u002FL,超過 1.5 即中毒,故這類交互作用臨床高度受重視。記憶口訣:『抬高鋰鹽三劍客——ACE、NSAID、Thiazide』;而 loop 利尿劑影響相對小。SNRI 則走血清素路線,配鋰鹽要防的是血清素症候群(高燒、肌陣攣、意識改變)。",[24,26,28,30,32],{"term":25,"count":10},"鋰鹽腎臟排除",{"term":27,"count":10},"鋰鹽治療窗",{"term":29,"count":10},"NSAID抑制前列腺素",{"term":31,"count":10},"thiazide鈉鋰再吸收",{"term":33,"count":10},"ACE抑制劑腎血流",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-1-psychiatric-community-012","周小姐，28 歲，因情緒起伏大，有多次割腕自傷的病史，此次因服用過量的安眠藥而入院治療，住院後頻打電話要求父母帶外出散心，要求未果則大聲謾罵：「如果你們不來，我就去撞牆！」周小姐的行為反應為下列何者？",12,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-106-2-psychiatric-community-028","有關物質使用障礙症病人之照護過程，下列何者最正確？",28,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-107-1-psychiatric-community-042","社區評估時收集社區民眾的教育程度及其婚姻狀況等資料，是安德森（Anderson）健康評估模式中的那一向度？",42,107,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-108-2-psychiatric-community-080","社區衛生護理師在教導民眾預防慢性腎臟病的方法，下列何者正確？",80,108,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-110-1-psychiatric-community-044","有關流行病學世代研究法（cohort study），下列何者較適當？①適合研究罕見致癌因子 ②能描述疾病之自然史 ③能探討因果關係 ④可能出現訪談誤差（interview bias）",44,110,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-111-1-psychiatric-community-078","有關戒菸的護理指導，下列何者正確？",78,111,"2026-09-04",1788510694645]