[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-113-2-basic-medicine-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":65},"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":27},"nurse-113-2-基礎醫學-032","nurse-113-2-basic-medicine-032",113,2,32,"有關全身性麻醉劑 propofol，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"除了靜脈注射，也可以吸入式投與","具有良好的止吐效果","主要經由抑制麩胺酸（glutamate）受體而產生麻醉效果","具有良好的水溶性","B",null,[],"本題考點在於靜脈麻醉劑 propofol 的藥理特性。依麻醉藥理，propofol 除了誘導與維持麻醉外，具良好的止吐效果，是其在門診麻醉受青睞的特點之一，故選 B。A 錯：propofol 為靜脈注射給藥，無法以吸入方式投與。C 錯：其機轉是加強 GABA-A 受體的抑制性作用，而非抑制麩胺酸受體。D 錯：propofol 脂溶性高、水溶性差，故製成脂質乳劑（乳白色）給藥。","propofol 記憶點：起效快、甦醒快、有止吐、乳白色脂質乳劑（別名 milk of anesthesia）。機轉為正向調節 GABA-A。注意副作用：注射痛、低血壓、呼吸抑制，長時間高劑量恐致 propofol infusion syndrome（代謝性酸中毒、橫紋肌溶解）。脂質載體無防腐力，開封後易滋菌需嚴格無菌。",[25,28,31,33],{"term":26,"count":27},"GABA-A 受體",5,{"term":29,"count":30},"propofol",1,{"term":32,"count":30},"止吐作用",{"term":34,"count":30},"脂質乳劑靜脈給藥",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-113-2-basic-medicine-033","下列藥物中，何者無法改善幼兒之注意力缺損過動症（attention deficit hyperactivity disorder）？",33,{"webId":41,"stem":42,"number":43,"year":44,"session":30},"nurse-114-1-basic-medicine-029","乳癌病患出現橘皮（peau d'orange）現象，與下列何者最有關？",29,114,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-114-3-basic-medicine-023","關於慢性阻塞性肺病（chronic obstructive pulmonary disease），下列敘述何者最適當？",23,3,{"webId":51,"stem":52,"number":53,"year":54,"session":30},"nurse-106-1-basic-medicine-071","治療 A 族溶血性鏈球菌的感染病，以下列何種抗生素為優先？",71,106,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-107-2-basic-medicine-035","關於糖尿病之敘述，下列何者錯誤？",35,107,{"webId":61,"stem":62,"number":63,"year":64,"session":11},"nurse-108-2-basic-medicine-069","對於臨床症狀尚不明顯的布魯氏桿菌症（brucellosis），通常是以下列何種檢測來鑑定？",69,108,"2026-09-04",1788510754167]