[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-064":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-106-2-內外科護理學-064","nurse-106-2-medical-surgical-064",106,2,64,"有關雙胍類降血糖藥物 Metformin（Glucophage）之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"飯前服用效果最佳","肝臟疾病病人可安心服用","增加胰島素分泌為其主要的藥理作用","易出現噁心或食慾減退等胃腸道刺激副作用","D",null,[],"本題考點為雙胍類口服降血糖藥 Metformin 的藥理與用藥。Metformin 主要作用是抑制肝臟糖質新生、增加周邊組織對胰島素的敏感性,常見副作用為噁心、腹瀉、食慾減退等胃腸道刺激,故 D 正確。A 為減少胃腸刺激,Metformin 宜『隨餐或飯後』服用而非飯前效果最佳,錯誤;B 肝功能不良者因增加乳酸中毒風險應避免,並非可安心服用,錯誤;C『增加胰島素分泌』是磺醯脲類(sulfonylurea)的機轉,非雙胍類,錯誤。故選 D。","Metformin 記憶:『不刺激胰島素分泌』故單用不易低血糖,是第 2 型糖尿病一線藥;主作用減少肝醣輸出+增加胰島素敏感性。最嚴重罕見副作用是乳酸中毒,故肝腎功能不全、缺氧狀態、顯影劑檢查前後須停用。腸胃副作用可隨餐服用並自低劑量漸增以緩解。口訣:『雙胍降肝糖、增敏感,不催胰島素,怕乳酸中毒』。",[24,26,29,31,33],{"term":25,"count":10},"胰島素敏感性",{"term":27,"count":28},"Metformin(雙胍類)",1,{"term":30,"count":28},"肝臟糖質新生抑制",{"term":32,"count":28},"乳酸中毒風險",{"term":34,"count":28},"磺醯脲類機轉對比",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-2-medical-surgical-065","有關甲狀腺機能亢進病人服用碘製劑之注意事項，下列何者正確？",65,{"webId":41,"stem":42,"number":28,"year":43,"session":10},"nurse-107-2-medical-surgical-001","古先生，35 歲，為貨運司機，因腰椎椎間盤突出接受手術治療，術後依醫師指示需穿背架 6 個月，下列敘述何者錯誤？",107,{"webId":45,"stem":46,"number":47,"year":48,"session":28},"nurse-108-1-medical-surgical-015","有關迴腸造口手術後造瘻口的正常顏色，下列何者正確？",15,108,{"webId":50,"stem":51,"number":52,"year":53,"session":28},"nurse-109-1-medical-surgical-053","有關急性呼吸窘迫症候群（ARDS）的處置，下列何者錯誤？",53,109,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-110-2-medical-surgical-017","有關痔瘡術後的護理措施，下列何者錯誤？",17,110,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-111-2-medical-surgical-051","下列何者為與第一型立即性過敏反應有密切關聯的免疫球蛋白？",51,111,"2026-09-04",1788510698862]