[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-001":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-109-2-內外科護理學-001","nurse-109-2-medical-surgical-001",109,2,1,"有關顱內壓升高的處置，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"運用顱內壓監測系統測量顱內壓時，其體外零點的相對位置是第四腦室","可利用滲透性利尿劑如 Mannitol 降腦壓，使用時應緩慢靜脈注射","使用類固醇藥物降低腦壓時，應特別注意血壓的變化及不可驟然停藥","滲透性利尿劑停藥時應漸進式停藥以免造成「回躍現象」","D",null,[],"本題考點是顱內壓升高的處置原則。滲透性利尿劑（如Mannitol）驟停可能使腦組織水分回滲、顱內壓反彈，即「回躍（rebound）現象」，故停藥應漸進式，D正確。A錯在顱內壓監測體外零點應對齊Monro孔（相當外耳道高度）而非第四腦室。B錯在Mannitol應快速（bolus）靜脈注射以形成滲透梯度、且須經過濾器，非緩慢注射。C錯在類固醇對創傷性腦水腫降腦壓效果有限，主要用於腫瘤性水腫。故正確為D。","延伸：Mannitol為高滲透利尿劑，快速輸注使血漿滲透壓上升、水分由腦組織移入血管而降腦壓，須監測血漿滲透壓（\u003C320 mOsm\u002FL）、電解質與尿量，並經濾器給藥防結晶。回躍現象因藥物滲入受損腦組織反使其吸水。ICP監測零點對齊Monro孔（相當外耳道）。記憶：Mannitol「快推、過濾、勿驟停」。可連結：腦灌流壓CPP＝MAP−ICP、腦疝。",[24,26,28,30],{"term":25,"count":10},"顱內壓升高處置",{"term":27,"count":10},"Mannitol滲透性利尿劑",{"term":29,"count":11},"回躍現象",{"term":31,"count":11},"ICP監測零點",[33,36,41,45,50,56],{"webId":34,"stem":35,"number":10,"year":9,"session":10},"nurse-109-2-medical-surgical-002","有關頭部外傷病人經手術取出顱內血腫並於腦室內放置顱內壓監測器（ICP monitoring device）之敘述，下列何者錯誤？",{"webId":37,"stem":38,"number":39,"year":40,"session":11},"nurse-110-1-medical-surgical-018","下列何者是罹患骨質疏鬆症風險最低的情況？",18,110,{"webId":42,"stem":43,"number":44,"year":40,"session":10},"nurse-110-2-medical-surgical-032","有關僧帽瓣狹窄的臨床表徵，下列何者正確？",32,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-111-2-medical-surgical-070","有關抗利尿激素分泌不當症候群（SIADH）的護理指導，下列何者錯誤？",70,111,{"webId":51,"stem":52,"number":53,"year":54,"session":55},"nurse-112-3-medical-surgical-034","病人接受左肺切除術後使用胸管，下列護理措施何者最適當？",34,112,3,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-114-1-medical-surgical-028","有關皮膚腫瘤之敘述，下列何者正確？",28,114,"2026-09-04",1788510716256]