[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-056":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-107-1-內外科護理學-056","nurse-107-1-medical-surgical-056",107,1,56,"有關慢性阻塞性肺部疾病病人使用 Aminophylline 治療時之敘述，下列何者正確？①主要作用為支氣管擴張 ②副作用為心律不整和高血壓 ③靜脈注射速度不可超過 20～25 mg\u002Fmin ④血清治療濃度應維持在 20～40 μg\u002FmL 之間",{"A":14,"B":15,"C":16,"D":17},"①②","①③","②④","③④","B",null,[],"本題考點在慢性阻塞性肺病使用 Aminophylline 的藥理。依其作用，①主要為支氣管擴張（甲基黃嘌呤類鬆弛支氣管平滑肌）正確；③靜脈注射速度不可超過 20～25 mg\u002Fmin，以免血中濃度驟升引發毒性，正確，故選 B（①③）。②錯在其副作用為心搏過速、心律不整並可能「低血壓」，而非高血壓。④錯在血清治療濃度應維持在 10～20 μg\u002FmL，20～40 μg\u002FmL 已進入中毒範圍。核心在掌握其支氣管擴張作用、給藥速度限制與正確的治療濃度區間。","Aminophylline（茶鹼類）治療窗窄，血中濃度 10–20 μg\u002FmL 為治療範圍，＞20 即漸出現噁心、心悸、心律不整，＞35 可致癲癇與致命性心律不整，故需監測血中濃度。作用機轉包含抑制磷酸二酯酶（PDE）使 cAMP 上升、拮抗腺苷受體，達支氣管擴張。靜脈給予須緩慢（≦20–25 mg\u002Fmin）以防血壓驟降與心律不整。抽菸、某些藥物（如 rifampin）會加速代謝、心衰與肝病則減慢代謝，需調整劑量，屬給藥安全高風險藥。",[24,26,28,30,32],{"term":25,"count":10},"Aminophylline(茶鹼)",{"term":27,"count":10},"支氣管擴張作用",{"term":29,"count":10},"靜脈注射速度限制",{"term":31,"count":10},"治療血中濃度 10–20 μg\u002FmL",{"term":33,"count":10},"心律不整與低血壓副作用",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-1-medical-surgical-057","有關協助肺心症病人清除呼吸道分泌物之措施，下列何者錯誤？",57,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-107-2-medical-surgical-073","有關康氏症候群（Conn’s syndrome）之臨床表徵，下列何者正確？",73,2,{"webId":45,"stem":46,"number":47,"year":48,"session":43},"nurse-108-2-medical-surgical-007","有關腦瘤之敘述，下列何者正確？①腦膜瘤好發於男性 ②續發性腦瘤常見於肺癌或乳癌病人 ③突然的發作抽搐是腦瘤的明顯指標 ④星狀細胞瘤好發於女性",7,108,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-109-2-medical-surgical-045","有關使用 Braden scale 評估壓傷危險因子和處置之敘述，下列何者正確？",45,109,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-111-1-medical-surgical-009","有關腸阻塞的臨床表徵，下列何者正確？①嘔吐 ②腹脹 ③腹部絞痛 ④腹瀉",9,111,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-1-medical-surgical-043","護理之家發生火災，許多住民吸入性灼傷，下列緊急處置，何者正確？",43,112,"2026-09-04",1788510702978]