[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-107-1-內外科護理學-026","nurse-107-1-medical-surgical-026",107,1,26,"有關低血壓的治療，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"給與 β 1 接受器拮抗劑可以增加心跳速率，提高心輸出量","給與 α 1 接受器促進劑可以增加周邊血管阻力，使血壓升高","採頭低腳高的姿勢是為了增加前負荷，提高心輸出量","使用中劑量 Dopamine 可以同時增加心輸出量與增加周邊血管阻力","A",null,[],"本題考點是低血壓的藥理與姿勢處置。依 β1 接受器負責加快心跳與增強心收縮，若給予 β1「拮抗劑(阻斷劑)」會減慢心跳、降低心輸出量，反而加重低血壓，應給 β1「致效劑」才對，故A敘述錯誤而選A。B α1 接受器致效劑收縮周邊血管、增加阻力使血壓上升，正確;C頭低腳高姿勢增加靜脈回流(前負荷)而提高心輸出量，正確;D中劑量 Dopamine 同時興奮 β1 與 α1，可增加心輸出量與周邊阻力，正確。","血壓=心輸出量×周邊血管阻力,升壓策略即從這兩軸切入。心輸出量:β1 致效(如 dobutamine、低中劑量 dopamine)增心收縮與心率;增前負荷(補液、頭低腳高)提高每搏輸出量。周邊阻力:α1 致效(如 norepinephrine、phenylephrine)收縮血管。Dopamine 具劑量依賴性:低劑量作用於腎多巴胺受體、中劑量興奮 β1、高劑量兼興奮 α1。本題陷阱在「拮抗劑 vs 致效劑」一字之差——β 阻斷劑是治療高血壓與心搏過速的藥,用於低血壓恰恰相反。",[24,26,28,30],{"term":25,"count":10},"低血壓治療",{"term":27,"count":10},"β1 致效劑與阻斷劑",{"term":29,"count":10},"α1 接受器致效劑",{"term":31,"count":10},"前負荷與心輸出量",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-medical-surgical-027","有關發生蘇莫吉效應（Somogyi effect）之敘述，下列何者正確？",27,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-107-2-medical-surgical-043","有關惡性貧血之敘述，下列何者錯誤？",43,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-108-1-medical-surgical-057","下列何者最容易造成 α 1 -抗胰蛋白酶（α 1 -antitrypsin）缺乏？",57,108,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-109-2-medical-surgical-015","有關腹膜炎病人身體評估之發現，下列何者正確？①腹痛輻射至背部或肩膀 ②腹部肌肉僵硬如木板 ③觸診腹部時出現壓痛及反彈痛 ④腸蠕動音增強",15,109,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-110-2-medical-surgical-059","有關以定量吸入器（MDI）方式給藥的敘述，下列何者錯誤？",59,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-1-medical-surgical-013","有關迴腸造瘻口的護理指導，下列何者正確？",13,112,"2026-09-04",1788510702670]