[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-1-medical-surgical-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-018","nurse-113-1-medical-surgical-018",113,1,18,"下列何者為冠狀動脈性心臟病人服用Aspirin之主要目的？",{"A":14,"B":15,"C":16,"D":17},"緩解發作時胸痛","鬆弛血管平滑肌","抑制血小板凝集","減緩心跳速率","C",null,[],"本題考點在於Aspirin用於冠狀動脈性心臟病的藥理作用機轉。依其藥理,Aspirin為不可逆抑制血小板環氧化酶(COX-1),使血栓素A₂(TXA₂)生成減少,進而抑制血小板凝集、預防血栓形成,故用於冠心病的主要目的是抗血小板,選C。A錯誤,緩解胸痛靠NTG;B錯誤,鬆弛血管平滑肌是硝酸鹽類或鈣離子阻斷劑的作用;D錯誤,減緩心跳是β受體阻斷劑的作用。","低劑量Aspirin(約75~100mg)即可持續抑制血小板COX-1;因血小板無細胞核無法再合成酶,抑制效果維持該血小板整個壽命(約7~10天),這也是術前需停藥的原因。對比:clopidogrel走ADP受體途徑,兩者機轉不同但同為抗血小板。",[24,27,30,32],{"term":25,"count":26},"抗血小板",4,{"term":28,"count":29},"Aspirin",2,{"term":31,"count":29},"血栓素A2",{"term":33,"count":10},"COX-1 抑制",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-1-medical-surgical-019","有關心臟節律器之敘述，下列何者正確？",19,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-113-3-medical-surgical-015","下列檢查結果，何者可診斷為糖尿病？",15,3,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-114-2-medical-surgical-009","有關食道靜脈曲張出血病人的護理指導，下列何者不適當？",9,114,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-106-1-medical-surgical-007","江先生，85 歲，於 1 個月前頭部不小心撞到門框，當時並無任何異狀，但近來常出現記憶力差、嗜睡等症狀，今早因意識越來越差，由家屬送至急診，經電腦斷層掃描診斷為慢性硬膜下出血，下列敘述何者正確？",7,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-107-1-medical-surgical-051","有關急性呼吸窘迫症候群（ARDS）的診斷標準，下列何者正確？",51,107,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-108-2-medical-surgical-005","有關照護 HIV 感染者及共同生活者之護理指導，下列何者正確？",5,108,"2026-09-04",1788510750367]