[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-078":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-078","nurse-106-2-medical-surgical-078",106,2,78,"有關末期腎疾病（ESRD）病人，因腎性貧血接受紅血球生成素（EPO）治療之準則，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"血球比容至少要達到 35%","血清鐵蛋白應大於 200 ng\u002FmL","運鐵蛋白飽和度應大於 20%","無惡性高血壓","A",null,[],"本題考點在末期腎病腎性貧血使用紅血球生成素（EPO）的治療準則。EPO 治療目標並非把血比容（Hct）拉到正常，而是控制在適度範圍以避免高血壓、血栓等風險，一般 Hct 目標約 33～36%、Hb 約 10～12 g\u002FdL，過高反增心血管事件；A 稱「至少要達 35%」把下限訂太高、方向錯誤，故選 A。B 對，鐵儲備充足是 EPO 有效前提，血清鐵蛋白應大於 200 ng\u002FmL；C 對，運鐵蛋白飽和度應大於 20%，確保有鐵可供造血；D 對，惡性高血壓未控制時不宜用 EPO，以免血壓進一步惡化。","機轉：正常腎臟分泌 EPO 刺激骨髓造紅血球，末期腎病腎組織破壞致 EPO 不足而貧血。補充 EPO 前務必確認「鐵夠不夠」——缺鐵時 EPO 無米可炊，故先評估鐵蛋白（儲存鐵）與運鐵蛋白飽和度（可用鐵）。目標 Hb 過高（>13 g\u002FdL）經大型試驗證實增加中風、血栓與死亡風險，故採「夠用就好」原則。副作用重點：高血壓惡化與血栓。記憶——EPO 治療是「補到不喘、不輸血」而非「補到正常人紅血球值」。",[24,26,29,31,33],{"term":25,"count":10},"腎性貧血",{"term":27,"count":28},"紅血球生成素EPO",1,{"term":30,"count":28},"血比容Hct目標值",{"term":32,"count":28},"血清鐵蛋白與運鐵蛋白飽和度",{"term":34,"count":28},"EPO過高心血管風險",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-2-medical-surgical-079","楊先生 50 歲，患有高血壓超過 10 年，目前被診斷有慢性腎疾病，為減緩腎功能衰退，應指導其血壓控制在下列何種範圍？",79,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-107-2-medical-surgical-015","有關肝硬化主要之合併症，下列何者錯誤？",15,107,{"webId":46,"stem":47,"number":48,"year":49,"session":28},"nurse-108-1-medical-surgical-029","能降低冠狀動脈疾病病人心肌耗氧量的藥物，下列何者錯誤？",29,108,{"webId":51,"stem":52,"number":53,"year":54,"session":28},"nurse-109-1-medical-surgical-067","有關糖尿病的藥物治療之敘述，下列何者正確？",67,109,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-110-2-medical-surgical-031","有關心律不整的敘述，下列何者錯誤？",31,110,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-111-2-medical-surgical-065","有關腎臟癌治療和照護的敘述，下列何者錯誤？",65,111,"2026-09-04",1788510699005]