[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-1-medical-surgical-066":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-066","nurse-109-1-medical-surgical-066",109,1,66,"有關高滲透壓高血糖狀態（HHS）之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"血糖上升，但高血糖較酮酸中毒輕微","血液 pH 值下降，呈現酮酸中毒","脫水嚴重，皮膚呈現潮紅、溫暖、乾燥","出現庫斯莫爾氏呼吸（Kussmaul’s breathing）","C",null,[],"本題考點為高滲透壓高血糖狀態(HHS)的特徵。HHS多見於第2型糖尿病,體內尚有少量胰島素可抑制脂肪分解,故「不」產生大量酮體,以極高血糖與嚴重高滲透壓脫水為主;脫水嚴重時皮膚呈潮紅、溫暖、乾燥,故選C。A高血糖較酮酸中毒輕微錯誤,HHS血糖常更高(可>600 mg\u002FdL);B呈酮酸中毒與pH下降是DKA而非HHS;D庫斯莫爾氏呼吸為酮酸中毒代償酸血症的深快呼吸,HHS無明顯酮酸故不出現,故正確者為C。","HHS對比DKA:HHS血糖更高(>600)、滲透壓更高、無明顯酮體與酸中毒、脫水與意識改變更重,多見於年長第2型;DKA血糖較低(>250)、有酮酸與Kussmaul呼吸、爛蘋果味,多見第1型。兩者皆缺水缺鉀。庫斯莫爾呼吸是酸中毒的呼吸代償,HHS沒有酸故不出現。",[24,27,29,31],{"term":25,"count":26},"高滲透壓高血糖狀態HHS",2,{"term":28,"count":10},"嚴重脫水",{"term":30,"count":10},"無明顯酮酸中毒",{"term":32,"count":10},"與DKA鑑別",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-medical-surgical-067","有關糖尿病的藥物治療之敘述，下列何者正確？",67,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-110-1-medical-surgical-003","下列何者為重症肌無力病人最早受到影響的肌肉？",3,110,{"webId":44,"stem":45,"number":46,"year":42,"session":26},"nurse-110-2-medical-surgical-017","有關痔瘡術後的護理措施，下列何者錯誤？",17,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-111-2-medical-surgical-055","有關慢性支氣管炎病人出院護理指導的敘述，下列何者正確？",55,111,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-112-3-medical-surgical-019","有關 Dopamine 作用的敘述，下列何者正確？①2 μg\u002Fkg\u002Fmin 會增加心肌的自動性，因此可減少心室節律障礙 ②可治療低血容量性休克 ③5～10 μg\u002Fkg\u002Fmin 主要作用是增加腎血流量 ④大於10 μg\u002Fkg\u002Fmin 作用是末梢血管收縮",19,112,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-114-1-medical-surgical-013","有關骨質疏鬆症處置之敘述，下列何者正確？",13,114,"2026-09-04",1788510712918]