[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-basic-medicine-057":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":64},"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-057","nurse-111-1-basic-medicine-057",111,1,57,"下列有關 aspirin 的作用中，何者所需要的劑量最高？",{"A":15,"B":16,"C":17,"D":18},"抗發炎","止痛","抗凝血","退燒","A",null,[],"本題考點為 aspirin 不同藥理作用所需劑量的高低。Aspirin 的作用具劑量依賴性：低劑量（約 75–100 mg）即以不可逆抑制血小板 COX-1 達到抗凝血（抗血小板）效果；中等劑量可止痛、退燒；而抗發炎需抑制發炎組織的前列腺素合成，需要更高、且接近抗風濕的劑量才能達到，故『抗發炎』所需劑量最高，選 A。相對地，抗凝血（C）所需劑量最低，止痛（B）與退燒（D）居中。故正解為抗發炎。","劑量階梯記憶（由低到高）：抗血小板（低劑量，永久抑制血小板 COX-1，因血小板無核不能再合成酵素，故效果持續至新血小板生成）→ 止痛、退燒（中劑量，抑制中樞與周邊 COX 減少前列腺素）→ 抗發炎\u002F抗風濕（高劑量，充分抑制發炎部位 PG 合成）。高劑量另需警覺水楊酸中毒（耳鳴、換氣過度、酸鹼失衡）。記憶：『劑量越大、抗發炎；劑量越小、顧血管』。",[25,27,29,31],{"term":26,"count":11},"Aspirin 劑量依賴作用",{"term":28,"count":11},"COX 抑制",{"term":30,"count":11},"抗發炎需高劑量",{"term":32,"count":11},"低劑量抗血小板",[34,38,43,48,53,59],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-111-1-basic-medicine-058","血管緊縮素轉換酶抑制劑用於治療充血性心衰竭病人，其作用機轉為何？",58,{"webId":39,"stem":40,"number":41,"year":42,"session":11},"nurse-112-1-basic-medicine-024","下列與發炎關係最少的關節炎是：",24,112,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-112-3-basic-medicine-018","當物質經腎臟排出至尿液的量大於其腎絲球過濾率（glomerular filtration rate）時，則表示該物質在腎臟中經過下列何種處理？",18,3,{"webId":49,"stem":50,"number":51,"year":52,"session":11},"nurse-114-1-basic-medicine-016","下列何者不具支撐子宮（uterus）的功能？",16,114,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-115-2-basic-medicine-020","下列那個腦區主要負責接收迷走神經傳入訊號，並調控嘔吐反應？",20,115,2,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-107-1-basic-medicine-004","上頜骨不參與形成下列那個腔室？",4,107,"2026-09-04",1788510733193]