[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-2-medical-surgical-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-108-2-內外科護理學-025","nurse-108-2-medical-surgical-025",108,2,25,"有關冠狀動脈疾病治療藥物之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"心絞痛使用 nitroglycerin（NTG），必須密切監測心搏出量","心絞痛使用 propranolol（inderal），主要作用是擴張動脈，減輕心臟後負荷","心肌梗塞使用 morphine，可以減輕疼痛並且降低心臟前負荷","心肌梗塞使用 heparin，需要密切監測凝血酶原時間（PT）","C",null,[],"本題考點是冠狀動脈疾病用藥的作用與監測重點。依 morphine 藥理,它除鎮痛外可擴張靜脈、降低回流,減輕心臟前負荷並降低心肌耗氧,適用於心肌梗塞疼痛,故選 C。A 錯在監測項目,NTG 為血管擴張劑主要監測血壓,而非心搏出量。B 錯在機轉,propranolol 屬 β 受體阻斷劑,作用是降心率與收縮力以減少耗氧,並非擴張動脈減後負荷。D 錯在指標,heparin 須監測活化部分凝血活酶時間(aPTT),而 PT\u002FINR 是監測 warfarin 用的。","配對記憶:NTG→擴張靜脈為主、監測血壓;β阻斷劑(-olol)→降心率、降耗氧;morphine→鎮痛+降前負荷+緩解焦慮;heparin→aPTT、warfarin→PT\u002FINR。morphine 在急性心肌梗塞的價值在於同時處理疼痛、交感興奮與肺充血。可連結:前負荷\u002F後負荷、心肌耗氧決定因子、抗凝監測 aPTT vs PT\u002FINR、β 受體阻斷劑禁忌。",[24,26,29,31],{"term":25,"count":10},"β 受體阻斷劑",{"term":27,"count":28},"morphine 降前負荷",1,{"term":30,"count":28},"NTG 血管擴張",{"term":32,"count":28},"肝素監測 aPTT",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-medical-surgical-026","60 歲的王太太是退休公務員，平日在家日常生活活動都靠家人幫忙，休息時仍感呼吸喘，晚上常因呼吸不順無法入睡，根據美國紐約心臟學會（NYHA）的心臟功能分級標準，上述情況何者正確？",26,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-109-1-medical-surgical-042","有關足癬的敘述，下列何者錯誤？",42,109,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-109-2-medical-surgical-056","下列動脈血液氣體分析的報告，何者最能顯示慢性阻塞性肺疾病（COPD）病人的情況惡化？",56,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-111-1-medical-surgical-014","有關口腔炎的分類及臨床表徵，下列何者正確？",14,111,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-112-1-medical-surgical-058","有關透析治療之適應症，下列何者不適宜？",58,112,{"webId":58,"stem":59,"number":41,"year":60,"session":28},"nurse-113-1-medical-surgical-042","有關原發性醛固酮過多症之護理措施，下列何者錯誤？",113,"2026-09-04",1788510706383]