[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-110-2-內外科護理學-019","nurse-110-2-medical-surgical-019",110,2,19,"王先生，診斷痛風性關節炎，正服用秋水仙素（Colchicine）。有關此藥物的護理指導，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"服用此藥物會低血壓，早上起床時要格外小心","服用此藥物要定期檢查眼睛","服用此藥物若出現嚴重腹瀉時應停藥","因為此藥物可能會導致血液凝結，每天要多喝水","C",null,[],"本題考點在於秋水仙素(Colchicine)的胃腸道毒性與停藥指標。此藥抑制微管聚合以減少中性球對尿酸結晶的發炎反應，最常見且具劑量相關的副作用是腹瀉、噁心、嘔吐等胃腸道症狀，當出現嚴重腹瀉即為藥物毒性警訊，須停藥並就醫評估，故C正確。低血壓(A)非其典型副作用。定期檢查眼睛(B)屬於Ethambutol、氯奎寧類藥物的監測，與本藥無關。此藥不會導致血液凝結(D)，該敘述機轉錯誤。故正確為出現嚴重腹瀉應停藥C。","Colchicine治療急性痛風，機轉為干擾中性球微管、抑制其趨化與吞噬尿酸鹽結晶，降低發炎。治療劑量與中毒劑量接近，腹瀉常是「達到毒性上限」的訊號，故以腹瀉作為停藥指標。過量可致骨髓抑制、多重器官衰竭。記憶口訣「秋水仙素拉肚子就喊卡」。可連結概念：痛風急性期用藥(NSAID、類固醇)、與慢性期降尿酸藥(Allopurinol)的區別。",[24,27,29,31],{"term":25,"count":26},"秋水仙素Colchicine",1,{"term":28,"count":26},"微管抑制",{"term":30,"count":26},"胃腸道毒性",{"term":32,"count":26},"停藥指標",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-medical-surgical-020","有關痛風性關節炎病人的護理指導，下列何者正確？",20,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-111-1-medical-surgical-036","林先生接受骨髓移植後 2 週出現黃疸、腹水、體重增加，下列何者為最可能發生之合併症？",36,111,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-111-2-medical-surgical-050","接觸性皮膚炎病人因搔癢不適至門診治療，下列護理指導何者錯誤？",50,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-112-3-medical-surgical-008","有關腹腔鏡檢查的敘述，下列何者正確？",8,112,3,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-114-1-medical-surgical-012","有關肌肉骨骼系統身體檢查評估結果之敘述，下列何者正確？",12,114,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-2-medical-surgical-006","有關腸阻塞之敘述，下列何者錯誤？",6,115,"2026-09-04",1788510728931]