[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-medical-surgical-008":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-110-1-內外科護理學-008","nurse-110-1-medical-surgical-008",110,1,8,"有關癲癇病人服用藥物的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"發作後或覺得快發作時服用藥物，特別有效","服用 acetazolamide（Diamox），常有夜盲的困擾","服用 primidone（Mysoline），可能會出現嗜睡的困擾","合併多種低劑量的抗癲癇藥物的治療效果較佳","C",null,[],"本題考點為抗癲癇藥物的用藥原則與副作用。依藥理,primidone(Mysoline)在體內代謝為 phenobarbital,具中樞抑制作用,常見副作用即嗜睡、鎮靜與頭暈,故選 C。選項 A 錯,抗癲癇藥須規律維持血中治療濃度以預防發作,而非等快發作時才臨時服用;選項 B 錯,acetazolamide(Diamox)是碳酸酐酶抑制劑,副作用為感覺異常、代謝性酸中毒與腎結石,並非夜盲;選項 D 錯,治療原則是盡量以單一藥物控制,合併多藥反增交互作用與副作用。","primidone→phenobarbital 的代謝關係是本題核心:兩者都屬巴比妥類效應,故以嗜睡鎮靜為標誌副作用。用藥三原則記法『單一、規律、勿驟停』:優先單藥、定時定量維持濃度、突然停藥會誘發重積性癲癇。Diamox 偶爾用於特定發作,但其標誌副作用是酸中毒與結石,與夜盲無關,屬常見混淆點。",[24,26,28,30],{"term":25,"count":10},"primidone 代謝為 phenobarbital",{"term":27,"count":10},"抗癲癇藥嗜睡副作用",{"term":29,"count":10},"單一藥物治療原則",{"term":31,"count":10},"規律血中濃度",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-medical-surgical-009","有關吸收不良症候群的臨床表徵，下列何者正確？",9,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-medical-surgical-025","有關感覺神經性聽力喪失的敘述，下列何者正確？",25,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-medical-surgical-039","有關化學治療藥物作用機轉與副作用之敘述，下列何者錯誤？",39,111,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-112-1-medical-surgical-077","下列何類休克有皮膚潮紅、溫暖的臨床徵象？①低血容性 ②敗血性 ③心因性 ④神經性",77,112,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-113-2-medical-surgical-021","有關惡性貧血的敘述，下列何者錯誤？①與自體免疫有關 ②曾接受胃切除手術者較易罹患 ③可以進行骨髓切片檢查確定診斷 ④須終生補充維生素 B 12",21,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-medical-surgical-015","有關扁桃腺炎，下列敘述何者最不適當？",15,114,3,"2026-09-04",1788510720791]