[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-basic-medicine-050":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":32,"lastmod":63},"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":11},"nurse-111-1-基礎醫學-050","nurse-111-1-basic-medicine-050",111,1,50,"使用下列何種吸入性麻醉劑，最易引起心律不整（cardiac arrhythmia）之副作用？",{"A":15,"B":16,"C":17,"D":18},"Desflurane","Halothane","Isoflurane","Sevoflurane","B",null,[],"本題考點為吸入性麻醉劑的心律不整副作用比較。Halothane 最易引起心律不整，因它會使心肌對兒茶酚胺（catecholamine）的敏感性增加，易誘發心室心律不整，且具劑量相關的心肌抑制，故選 B。Desflurane（A）、Isoflurane（C）、Sevoflurane（D）為較新的醚類吸入麻醉劑，對心肌兒茶酚胺致敏作用小、心律不整風險明顯較低。其中 Sevoflurane 因氣味較不刺激常用於小兒誘導。故在四者中，Halothane 為最易致心律不整者。","機轉重點：Halothane（鹵烷）使心肌對腎上腺素敏感化，若同時使用外源兒茶酚胺（如手術中局部止血用 epinephrine）易誘發心室早搏或心室頻脈；另有罕見但嚴重的『鹵烷肝炎（halothane hepatitis）』。現代麻醉多改用 sevoflurane、desflurane、isoflurane，皆為醚類、致敏心律作用低。記憶口訣：老藥 Halothane＝心律不整＋肝毒；新醚類相對安全。所有揮發性麻醉劑（含 halothane）皆可能誘發惡性高熱，需併記。",[25,27,28,30],{"term":26,"count":11},"吸入性麻醉劑",{"term":16,"count":11},{"term":29,"count":11},"心肌對兒茶酚胺敏感化",{"term":31,"count":11},"心室心律不整",[33,37,42,47,52,58],{"webId":34,"stem":35,"number":36,"year":10,"session":11},"nurse-111-1-basic-medicine-051","下列藥物和作用機轉之配對，何者錯誤？",51,{"webId":38,"stem":39,"number":40,"year":41,"session":11},"nurse-112-1-basic-medicine-017","心肌細胞快速反應之高原期（plateau phase），主要是因為那種離子持續流入所造成？",17,112,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-112-3-basic-medicine-011","細胞膜外側表面的盞醣（glycocalyx）最主要的功能為何？",11,3,{"webId":48,"stem":49,"number":50,"year":51,"session":11},"nurse-114-1-basic-medicine-009","肺氣腫（emphysema）患者因肺泡壁遭到破壞而容易出現下列那一種變化？",9,114,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-115-2-basic-medicine-013","自律神經系統的副交感神經節後神經元（postganglionic parasympathetic neuron）所分泌的神經傳遞物質為何？",13,115,2,{"webId":59,"stem":60,"number":61,"year":62,"session":57},"nurse-106-2-basic-medicine-077","實驗室診斷病毒感染的其中一個方法是利用細胞培養方式。下列何種病毒會在患者腦部出現所謂的 Negri 小體（Negri body）？",77,106,"2026-09-04",1788510733114]