[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-005":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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":26},"nurse-106-2-內外科護理學-005","nurse-106-2-medical-surgical-005",106,2,5,"有關巴金森氏症病人服用 levodopa 藥物之護理指導，下列何者正確？①補充維生素 B 6 以促進藥物吸收 ②補充高蛋白飲食以增加藥物效果 ③可能會出現舞蹈症或不自主運動 ④長期使用會出現 on-off 反應",{"A":14,"B":15,"C":16,"D":17},"①②","①④","②③","③④","D",null,[],"本題考點為巴金森氏症用藥levodopa的護理指導。③長期使用可能出現舞蹈症等不自主運動(dyskinesia)、④長期使用會出現on-off反應(藥效忽好忽壞的波動),兩者皆為levodopa的已知長期副作用,故正確組合為③④,選D。①錯誤——維生素B6是多巴脫羧酶的輔酶,會促進levodopa在周邊提前脫羧,反而降低進入腦部的藥量、削弱療效,應避免大量補充。②錯誤——高蛋白飲食中的胺基酸會與levodopa競爭腸道及血腦障壁的運送載體,妨礙其吸收與進腦,故不宜與高蛋白同服。故答案為D。","Levodopa藥理要點:為多巴胺前驅物,可通過血腦障壁後轉為多巴胺補充缺損。臨床常與carbidopa併用,抑制周邊脫羧、減少副作用並增加入腦藥量——這也解釋為何額外的B6會幫倒忙。與飲食關係:高蛋白的中性胺基酸和levodopa共用L型胺基酸載體,產生競爭,故建議與蛋白餐錯開。長期併發症記憶:dyskinesia(異動症)與on-off\u002Fwearing-off波動,是慢性用藥的兩大標誌性問題。",[24,27,29,31],{"term":25,"count":26},"Levodopa藥理",1,{"term":28,"count":26},"維生素B6交互作用",{"term":30,"count":26},"高蛋白競爭吸收",{"term":32,"count":26},"on-off反應與異動症",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-medical-surgical-006","評估大腦各葉與腦幹功能常用之診斷檢查，下列何者正確？",6,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-107-1-medical-surgical-022","有關使用音叉評估聽力喪失之敘述，下列何者錯誤？",22,107,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-107-2-medical-surgical-036","心臟週期的那一階段會出現第一心音？",36,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-108-2-medical-surgical-074","有關水分剝削試驗（Water Deprivation Test）之敘述，下列何者錯誤？",74,108,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-110-1-medical-surgical-038","有關化學藥物發生滲漏的敘述，下列何者正確？",38,110,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-111-1-medical-surgical-072","有關糖化血紅素（HbA1c）的敘述，下列何者正確？",72,111,"2026-09-04",1788510698249]