[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-032":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":26},"nurse-107-1-內外科護理學-032","nurse-107-1-medical-surgical-032",107,1,32,"針對長期口服 Warfarin（Coumadin）病人，應定期監測下列何項檢驗值？",{"A":14,"B":15,"C":16,"D":17},"凝血酶原時間（Prothrombin Time, PT）","活化部分凝血酶原時間（Activated Partial Thromboplastin Time, APTT）","部分凝血酶原時間（Partial Thromboplastin Time, PTT）","活化凝血時間（Activated Coagulation Time, ACT）","A",null,[],"本題考點在口服抗凝血劑 Warfarin 的監測指標。依 Warfarin 作用機轉，其抑制維生素 K 依賴凝血因子（II、VII、IX、X）的合成，主要影響外在途徑，故以凝血酶原時間（PT）及其標準化的 INR 監測抗凝強度，選 A。B 的 APTT 與 C 的 PTT 反映內在途徑，是監測 Heparin（肝素）之用，非 Warfarin。D 的活化凝血時間（ACT）用於體外循環或高劑量肝素的即時床邊監測，也不適用於口服 Warfarin 的長期追蹤。","記法：「外 P 內 A」——外在途徑看 PT，內在途徑看 APTT。Warfarin 走外在途徑（因子 VII 半衰期最短，最早受影響），故用 PT\u002FINR；INR 治療範圍一般 2–3，機械瓣膜可達 2.5–3.5。Heparin 走內在途徑，用 APTT。臨床上剛啟用 Warfarin 常與肝素重疊給藥，因初期蛋白 C、S 先下降可能一過性高凝。維生素 K 為 Warfarin 解毒劑，急性大出血則用新鮮冷凍血漿或凝血酶原複合物。",[24,27,29,31,33],{"term":25,"count":26},"Warfarin",4,{"term":28,"count":10},"凝血酶原時間 PT\u002FINR",{"term":30,"count":10},"維生素 K 依賴凝血因子",{"term":32,"count":10},"外在凝血途徑",{"term":34,"count":10},"APTT 監測 Heparin",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-107-1-medical-surgical-033","手術後輸血導致出現溶血性黃疸所造成之檢驗值變化，下列何者正確？",33,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-107-2-medical-surgical-049","有關評估火場中病人是否有吸入性灼傷之敘述，下列何者錯誤？",49,2,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-108-1-medical-surgical-063","有關病人因焦慮而過度通氣造成之酸鹼不平衡，下列何者正確？",63,108,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-109-2-medical-surgical-021","病人右大腿骨折上石膏 3 個月，拆除石膏時，不會看到下列那種現象？",21,109,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"nurse-110-2-medical-surgical-065","有關急迫性尿失禁的護理措施，下列何者最不適當？",65,110,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-112-1-medical-surgical-019","有關腕隧道症候群病人之身體檢查評估結果，下列何者正確？",19,112,"2026-09-04",1788510702720]