[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-005":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-113-1-內外科護理學-005","nurse-113-1-medical-surgical-005",113,1,5,"有關癲癇藥物Dilantin的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"靜脈輸注時須採用5%葡萄糖稀釋","口服常見的副作用為血液惡病質、心律不整等","指導病人須維持良好的口腔衛生，使用軟毛牙刷按摩牙齦","應維持血清治療濃度於80～100 mcg\u002FdL","C",null,[],"本題考點在於抗癲癇藥 Dilantin(phenytoin)的用藥須知。正確敘述為 C——phenytoin 常見副作用為牙齦增生,故須維持良好口腔衛生、使用軟毛牙刷並按摩牙齦以減輕增生,選 C。A 錯,靜脈給藥須以「生理食鹽水」稀釋,不可用葡萄糖溶液(會產生沉澱結晶)。B 錯,常見副作用是牙齦增生、多毛、眼球震顫、運動失調等,而非血液惡病質與心律不整為主。D 錯,phenytoin 的血清治療濃度為 10–20 mcg\u002FmL,而非 80–100 mcg\u002FdL,單位與數值皆不符。因此選 C。","Phenytoin(Dilantin)重點:靜脈注射須用生理食鹽水稀釋且緩慢給予(過快會導致低血壓與心律不整),不可與含葡萄糖液混合以免沉澱。治療濃度 10–20 mcg\u002FmL(µg\u002FmL),屬窄治療區間藥物須監測血中濃度,中毒早期表現為眼球震顫、運動失調、意識改變。長期口服典型副作用為牙齦增生(gingival hyperplasia),故口腔衛生衛教是護理重點;另有多毛、粗臉、葉酸缺乏等。記憶:phenytoin=食鹽水稀釋、牙齦增生、治療濃度 10–20。此題把治療濃度單位改成 dL、數值放大到 80–100 是明顯陷阱。",[24,27,29,31],{"term":25,"count":26},"生理食鹽水稀釋",2,{"term":28,"count":10},"Phenytoin(Dilantin)",{"term":30,"count":10},"牙齦增生",{"term":32,"count":10},"治療濃度10-20mcg\u002FmL",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-1-medical-surgical-006","陳先生因肝硬化、嚴重腹水，出現呼吸急促、意識混亂的情形，由家人送往醫院接受治療，於實驗室檢查中，可能出現下列何種結果？①ALT：80 U\u002FL、AST：55 U\u002FL ②albumin 4.0 gm\u002FdL ③prothrombin time 5 sec ④ammonia 120 mg\u002FdL",6,{"webId":39,"stem":40,"number":26,"year":9,"session":41},"nurse-113-3-medical-surgical-002","有關重症肌無力病人發生膽鹼激性危象之敘述，下列何者錯誤？",3,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-114-1-medical-surgical-046","有關糖尿病足病人運動時鞋襪選擇之建議，下列何者錯誤？",46,114,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-115-2-medical-surgical-044","有關低血糖的敘述，下列何者錯誤？",44,115,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-107-1-medical-surgical-038","減少腫瘤溶解症候群發生之處置，下列何者錯誤？",38,107,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-108-1-medical-surgical-072","有關庫欣氏症候群的診斷檢查，下列何者最具特異性？",72,108,"2026-09-04",1788510750265]