[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-038":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":26},"nurse-109-1-內外科護理學-038","nurse-109-1-medical-surgical-038",109,1,38,"有關食道靜脈曲張藥物治療之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"Furosemide","Propranolol","Sandostatin","Vasopressin","A",null,[],"本題考點在於食道靜脈曲張的藥物治療，屬選錯誤題。食道靜脈曲張因肝硬化門脈高壓所致，藥物目標是降低門脈壓與止血。選項B Propranolol為非選擇性β阻斷劑，可降低門脈壓預防出血；選項C Sandostatin（octreotide）為體抑素類似物，收縮內臟血管降門脈壓止血；選項D Vasopressin收縮內臟血管急性止血，三者皆為對症用藥。選項A Furosemide為利尿劑，用於腹水消腫但對降門脈壓或止血無直接治療作用，故為錯誤選項，應選A。","門脈高壓出血的藥物三支柱：非選擇性β阻斷劑（propranolol、nadolol）長期降門脈壓做初級與次級預防；血管收縮劑octreotide\u002Fvasopressin急性止血。輔以內視鏡結紮或硬化療法、必要時TIPS分流。Furosemide屬利尿劑主要處理腹水，作用機轉與部位不同。記憶：降門脈壓＝β阻斷劑＋內臟血管收縮劑，利尿劑管的是腹水不是靜脈曲張出血。",[24,27,30,32],{"term":25,"count":26},"門脈高壓",5,{"term":28,"count":29},"食道靜脈曲張",3,{"term":31,"count":10},"Propranolol降門脈壓",{"term":33,"count":10},"Furosemide為利尿劑",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"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,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-109-2-medical-surgical-055","有關護理師給予氣切造口（tracheostomy）病人抽痰時，下列措施何者最重要？",55,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-110-1-medical-surgical-069","有關嗜鉻細胞瘤的敘述，下列何者錯誤？",69,110,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-111-2-medical-surgical-027","關於雷諾氏病的敘述，下列何者錯誤？",27,111,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-112-2-medical-surgical-071","有關胰島素注射之敘述，下列何者正確？",71,112,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-113-3-medical-surgical-035","有關肺結核病人的出院護理指導，下列何者正確？",35,113,"2026-09-04",1788510712654]