[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-1-basic-medicine-051":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":37,"lastmod":65},"基礎醫學","basic-medicine","基礎醫學(包括解剖學、生理學、病理學、藥理學、微生物學與免疫學)",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-110-1-基礎醫學-051","nurse-110-1-basic-medicine-051",110,1,51,"阿司匹靈（Aspirin）與下列何種藥物併用會增加血中濃度，而使危險性提高？",{"A":15,"B":16,"C":17,"D":18},"Antacids","Warfarin","Heparin","Probenecid","B",null,[],"本題考點是阿司匹靈的藥物交互作用。依藥理學,阿司匹靈血漿蛋白結合率高,會把同樣高度結合白蛋白的口服抗凝血劑 warfarin 從結合位置置換出來,使游離型 warfarin 血中濃度上升而提高出血危險,故選 B。考點在於辨識何者被「增加血中濃度」:A 制酸劑會改變胃酸而略降阿司匹靈吸收,非增其他藥濃度;C heparin 是注射型抗凝劑,雖併用增加出血風險但機轉非濃度升高;D probenecid 的排尿酸作用反被阿司匹靈拮抗,並非被提高濃度,故答案為 warfarin。","warfarin 的高危交互作用要牢記:阿司匹靈與 NSAIDs 經「蛋白置換 + 抑制血小板 + 胃黏膜傷害」多重機轉加乘出血;此外抑制 CYP2C9 的藥(如 amiodarone、metronidazole)也會升高 warfarin 效力。記憶法:凡是高蛋白結合又併用 warfarin 的藥,都要警覺游離濃度上升;監測 INR 是掌握其抗凝強度的核心指標。",[25,28,31,33,35],{"term":26,"count":27},"藥物交互作用",3,{"term":29,"count":30},"warfarin",2,{"term":32,"count":11},"阿司匹靈",{"term":34,"count":11},"血漿蛋白置換",{"term":36,"count":11},"出血風險",[38,42,46,50,55,60],{"webId":39,"stem":40,"number":41,"year":10,"session":11},"nurse-110-1-basic-medicine-052","高血壓用藥 furosemide 在分類上屬於下列何者？",52,{"webId":43,"stem":44,"number":45,"year":10,"session":30},"nurse-110-2-basic-medicine-068","婦女經期衛生棉條不潔，引起之毒性休克症候群（toxic shock syndrome），為下列何種細菌產生之毒素所引起的？",68,{"webId":47,"stem":48,"number":30,"year":49,"session":30},"nurse-111-2-basic-medicine-002","二氧化碳在血液中最主要的運送形式是：",111,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-112-3-basic-medicine-050","下列何種疾病最常藉由埃及斑蚊（Aedes aegypti）傳播？",50,112,{"webId":56,"stem":57,"number":58,"year":59,"session":30},"nurse-114-2-basic-medicine-004","在大多數的人，下列那兩者是左冠狀動脈（left coronary artery）的主要分支？",4,114,{"webId":61,"stem":62,"number":63,"year":64,"session":30},"nurse-115-2-basic-medicine-048","有關於白色念珠菌（Candida albicans）之敘述，下列何者最不適當？",48,115,"2026-09-04",1788510719580]