[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-114-1-basic-medicine-035":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":37,"lastmod":66},"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-114-1-基礎醫學-035","nurse-114-1-basic-medicine-035",114,1,35,"毛地黃中毒時，因心跳過慢導致心律不整，下列何者為正確且安全的治療策略?",{"A":15,"B":16,"C":17,"D":18},"直接給與高劑量鎂與毛地黃競爭Na +-K + pump 的結合位","血鉀過低時宜補充鉀，並以atropine治療房室阻斷","可以抗心律不整藥物amiodarone來治療","不宜給與毛地黃抗體，以免加重傳導阻斷","B",null,[],"本題考點在於毛地黃中毒併心跳過慢時的安全處置。依藥理，毛地黃中毒常伴低血鉀而加重毒性，補鉀可降低毛地黃與 Na⁺-K⁺ pump 的結合、減輕毒性，房室傳導阻斷則以 atropine 阻斷迷走神經來加速心跳，故選 B。A 錯誤，鎂並非以競爭 pump 結合位方式作用且高劑量鎂本身有害；C 錯誤，amiodarone 會抑制傳導、加重阻斷；D 錯誤，嚴重中毒正應給予毛地黃抗體（digoxin-specific antibody）作解毒。","毛地黃抑制 Na⁺-K⁺ pump，低血鉀時鉀離子讓出結合位使毛地黃結合更多、毒性更強，故補鉀是關鍵。記憶要點：中毒心搏過慢用 atropine，致命性心律不整或高血鉀則用 digoxin-immune Fab；避免會壓抑傳導的抗心律不整藥。",[25,28,31,33,35],{"term":26,"count":27},"atropine",3,{"term":29,"count":30},"毛地黃中毒",2,{"term":32,"count":30},"低血鉀",{"term":34,"count":11},"Na+-K+ pump",{"term":36,"count":11},"毛地黃抗體",[38,42,46,51,56,61],{"webId":39,"stem":40,"number":41,"year":10,"session":11},"nurse-114-1-basic-medicine-036","Abciximab治療不穩定型心絞痛（unstable angina）的藥理機制為何？",36,{"webId":43,"stem":44,"number":45,"year":10,"session":27},"nurse-114-3-basic-medicine-032","氣喘（asthma）病人服用下列何種降血壓藥物時，最易誘發氣喘發作？",32,{"webId":47,"stem":48,"number":49,"year":50,"session":30},"nurse-115-2-basic-medicine-026","B 型血友病（hemophilia B）是因缺乏下列何種凝血因子所造成？",26,115,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-107-1-basic-medicine-014","有關肝圓韌帶的敘述，下列何者錯誤？",14,107,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-108-1-basic-medicine-058","下列何種苯二氮平（Benzodiazepine）藥物，最易引起較嚴重之戒斷症狀（如：焦慮）？",58,108,{"webId":62,"stem":63,"number":64,"year":65,"session":30},"nurse-109-2-basic-medicine-012","有關排尿，副交感神經興奮會造成下列何種現象？",12,109,"2026-09-04",1788510756536]