[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-008":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-108-1-內外科護理學-008","nurse-108-1-medical-surgical-008",108,1,8,"有關肌無力症病人發生疑似膽鹼性危象（cholinergic crisis）時的處置，下列何者適當？①增加抗膽鹼酯酶藥物 ②停止使用 Pyridostigmine（Mestinon） ③由靜脈注射 atropine ④由靜脈注射類固醇",{"A":14,"B":15,"C":16,"D":17},"①③","①④","②③","②④","C",null,[],"本題考點是重症肌無力發生膽鹼性危象時的處置。依病生理，膽鹼性危象源自抗膽鹼酯酶藥物過量、乙醯膽鹼過度堆積，處置原則是停用致病藥物並給予拮抗劑，故正解為 C（②停用 Pyridostigmine 併③靜脈注射 atropine）。①增加抗膽鹼酯酶藥物是錯誤方向，反而使乙醯膽鹼更過量、症狀惡化。②停用 Pyridostigmine（Mestinon）可移除過量來源，正確。③靜脈注射 atropine 為抗膽鹼藥，能拮抗過多的膽鹼性作用（如流涎、支氣管分泌增多、心搏過慢），正確。④靜脈注射類固醇並非膽鹼性危象的急性處置。判斷關鍵在於「膽鹼性危象＝藥物過量，須停藥＋給 atropine 拮抗」。","肌無力兩種危象鑑別：肌無力危象（myasthenic crisis）為藥量不足、乙醯膽鹼過少，須『加藥』；膽鹼性危象為藥量過多、乙醯膽鹼過多，須『停藥＋atropine』。可用 Tensilon（edrophonium）測試分辨——用後改善為肌無力危象、惡化為膽鹼性危象。膽鹼性危象呈 SLUDGE／毒蕈鹼過度症狀。兩者皆可致呼吸衰竭，須備妥呼吸支持。",[24,27,29,31,33],{"term":25,"count":26},"重症肌無力",7,{"term":28,"count":10},"膽鹼性危象",{"term":30,"count":10},"Pyridostigmine",{"term":32,"count":10},"atropine",{"term":34,"count":10},"抗膽鹼酯酶藥",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-1-medical-surgical-009","有關預防傾倒症候群的敘述，下列何者正確？",9,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-108-2-medical-surgical-025","有關冠狀動脈疾病治療藥物之敘述，下列何者正確？",25,2,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-109-1-medical-surgical-039","有關癌症病人發生口腔炎之護理指導，下列何者錯誤？",39,109,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-110-1-medical-surgical-077","依據「臺灣急診檢傷與急迫度分級量表」（TTAS），病人出現中樞性疼痛程度為 4～7 分，級數應為下列何者？",77,110,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"nurse-111-2-medical-surgical-041","長期攝取低纖維或精緻飲食，可能與下列何種癌症的發生最有關？",41,111,{"webId":61,"stem":62,"number":63,"year":64,"session":44},"nurse-112-2-medical-surgical-075","下列何者為永久性心臟節律器之適應症？",75,112,"2026-09-04",1788510709522]