[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-medical-surgical-028":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"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-111-2-內外科護理學-028","nurse-111-2-medical-surgical-028",111,2,28,"有關冠狀動脈繞道手術後，為維持正常心輸出量的處置，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"使用 Dobutamine，可以增加心肌收縮力","使用 Furosemide（Lasix），可以降低心臟之前負荷","使用 Nitroglycerine，可以增加心肌收縮力","使用 Nipride，可以同時降低心臟之前、後負荷","C",null,[],"本題考點為冠狀動脈繞道術後維持心輸出量的藥理機轉。心輸出量取決於心肌收縮力、前負荷與後負荷。Dobutamine 為 β1 受體致效劑,增加心肌收縮力(A對);Furosemide 為利尿劑,排除體液降低前負荷(B對);Nipride(硝普鈉)為強力血管擴張劑,同時降低前、後負荷(D對)。而 Nitroglycerine(硝化甘油)主要擴張靜脈、降低前負荷並擴張冠狀動脈,並不會增加心肌收縮力,故 C 敘述錯誤,為本題答案。","術後低心輸出可用「收縮力、前負荷、後負荷」三軸拆解用藥。正性肌力藥(Dobutamine、Dopamine)提升收縮力;利尿劑與靜脈擴張劑(硝化甘油)降前負荷;動脈擴張劑降後負荷(Nipride 兼具兩者)。硝化甘油低劑量以擴張靜脈為主(降前負荷、緩解心絞痛),它沒有正性肌力作用是常見陷阱。記憶要訣:硝化甘油「擴血管、降負荷、通冠脈」,但「不增收縮」。Dobutamine 才是專責增加收縮力的藥物。",[24,27,30,32],{"term":25,"count":26},"前負荷與後負荷",3,{"term":28,"count":29},"心輸出量決定因素",1,{"term":31,"count":29},"Dobutamine 正性肌力",{"term":33,"count":29},"Nitroglycerine 血管擴張",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-2-medical-surgical-029","有關風濕熱的主要臨床表徵，下列何者錯誤？",29,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-112-1-medical-surgical-045","有關皮膚癌的預防或處置，下列敘述何者錯誤？",45,112,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-112-2-medical-surgical-059","有關多重共病腎衰竭病人之服藥注意事項，下列何者錯誤？",59,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-113-3-medical-surgical-027","有關燒傷病人輔助使用高壓氧治療之作用，下列何者最適宜？",27,113,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-115-1-medical-surgical-031","有關全身性紅斑性狼瘡（SLE）之臨床表徵，下列敘述何者錯誤？",31,115,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-106-2-medical-surgical-045","有關燒傷傷口臨床表徵的敘述，下列何者正確？",106,"2026-09-04",1788510738480]