[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-027","nurse-108-1-medical-surgical-027",108,1,27,"有關心律不整藥物之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"Phenytoin（Dilantin）可用於治療毛地黃中毒引起之心律不整","Lidocaine（Xylocaine）為鉀離子通道阻斷劑，須注意高血鉀問題","心房早期收縮（APC）可使用鈣離子阻斷劑治療，但須注意低血壓問題","Amiodarone（Cordarone）為鈉離子通道阻斷劑，可延緩心肌去極化時間","A",null,[],"本題考點為抗心律不整藥物的分類與適應症。依藥理，Phenytoin可抑制心室異位放電，臨床用於毛地黃中毒所引起的心律不整，故正確者為A。B Lidocaine為鈉離子通道阻斷劑（非鉀通道），主要顧慮神經毒性而非高血鉀，敘述錯誤；C心房早期收縮多屬良性，非以鈣離子阻斷劑為首選，分類與處置不符；D Amiodarone主要為鉀離子通道阻斷劑（第III類），非鈉通道，敘述錯誤。故僅A正確。","Vaughan-Williams分類：I鈉通道（Lidocaine屬Ib）、II β阻斷劑、III鉀通道（Amiodarone）、IV鈣通道。Phenytoin雖屬抗癲癇藥，因穩定膜電位而對毛地黃相關心律不整有效。記憶陷阱：Lidocaine是鈉、Amiodarone是鉀，本題把兩者的通道說反即為錯項。",[24,27,30,32,34],{"term":25,"count":26},"毛地黃中毒",3,{"term":28,"count":29},"Lidocaine",2,{"term":31,"count":10},"抗心律不整藥",{"term":33,"count":10},"Phenytoin",{"term":35,"count":10},"Vaughan-Williams分類",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-108-1-medical-surgical-028","下列病人描述何者不是穩定型心絞痛疼痛之典型特徵？",28,{"webId":42,"stem":43,"number":44,"year":9,"session":29},"nurse-108-2-medical-surgical-044","有關焦痂切開術的敘述，下列何者正確？",44,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-109-1-medical-surgical-058","承上題，下列何項處置可以最有效的改善王先生酸鹼不平衡之問題？",58,109,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-110-2-medical-surgical-016","李先生因胃癌接受全胃切除術，術後開始進食稀飯，約 30 分鐘後出現腹脹、噁心嘔吐、心悸、頭暈等現象，下列何者為其最可能造成的原因？",16,110,{"webId":56,"stem":57,"number":58,"year":59,"session":29},"nurse-111-2-medical-surgical-060","王先生因慢性腎臟病正服用血管收縮素轉化酶抑制劑（ACEI），有關 ACEI 的敘述，下列何者錯誤？.",60,111,{"webId":61,"stem":62,"number":63,"year":64,"session":26},"nurse-112-3-medical-surgical-014","下列何者是視網膜剝離最主要的疾病機轉？",14,112,"2026-09-04",1788510709721]