[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":63},"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-109-1-內外科護理學-026","nurse-109-1-medical-surgical-026",109,1,26,"心臟衰竭病人使用 Dopamine 6 ug\u002Fkg\u002Fmin，給予該劑量 Dopamine 之最主要目的為何？",{"A":14,"B":15,"C":16,"D":17},"增加腎臟血流量","促進周邊血管收縮","使心肌收縮力增加","降低腎絲球過濾率","C",null,[],"本題考點在於Dopamine的劑量依賴性受體作用。Dopamine作用隨劑量不同：低劑量作用於多巴胺受體擴張腎血管增加腎血流；中劑量活化β₁受體增強心肌收縮力與心輸出量；高劑量活化α受體使周邊血管收縮升壓。本題6 μg\u002Fkg\u002Fmin屬中劑量，主要目的為β₁作用增加心肌收縮力，故選C。選項A增加腎血流為低劑量作用；選項B周邊血管收縮為高劑量α作用；選項D降低腎絲球過濾率並非治療目的，且與低劑量增腎流相反。故中劑量以強心為主。","Dopamine劑量效應是藥理常考題，記憶為「低腎、中心、高壓」：低劑量顧腎（dopaminergic）、中劑量強心（β₁）、高劑量升壓（α₁）。心衰竭病人給中劑量利用正性肌力作用提升心輸出量。須經中心靜脈給藥並用點滴幫浦精確控速，外滲會致組織壞死。與dobutamine（純β₁強心）對比記憶。",[24,26,28,30],{"term":25,"count":10},"Dopamine劑量依賴作用",{"term":27,"count":10},"β1受體強心",{"term":29,"count":10},"中劑量增加心肌收縮力",{"term":31,"count":10},"低腎中心高壓口訣",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-medical-surgical-027","有關心臟復健（Cardiac Rehabilitation, CR）運動原則之敘述，下列何者錯誤？",27,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-109-2-medical-surgical-043","有關癌症治療對口腔黏膜之影響與處置，下列敘述何者正確？",43,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-medical-surgical-057","下列那一種肺癌生長最快速，且最惡性但對化學及放射線治療敏感？",57,110,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-111-2-medical-surgical-015","王先生最近感覺疲勞就醫，抽血檢驗發現血清 IgG Anti-HAV 為陽性時所代表的意義，下列何者正確？",15,111,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-112-2-medical-surgical-059","有關多重共病腎衰竭病人之服藥注意事項，下列何者錯誤？",59,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-medical-surgical-023","有關體液容積過量之檢驗結果，下列敘述何者正確？①血比容下降 ②血尿素氮下降 ③血漿滲透壓上升 ④血鈉上升",23,113,3,"2026-09-04",1788510712548]