[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-1-medical-surgical-019":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-114-1-內外科護理學-019","nurse-114-1-medical-surgical-019",114,1,19,"有關急性心肌梗塞引起的心因性休克給予的藥物處置，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"Dobutamine滴注可以增加心肌收縮力及心輸出量","利尿劑主要目的為降低心臟前負荷","嗎啡主要是緩解疼痛，對心臟前、後負荷沒有影響","血管擴張劑nitroglycerin（NTG）滴注可以擴張周邊血管而減輕心臟負荷","C",null,[],"本題考點在於心因性休克的藥理處置原理，屬反向題，須挑出錯誤敘述。依血流動力學目標：Dobutamine為β1致效劑，增強心肌收縮力與心輸出量，A正確；利尿劑減少循環血量以降低前負荷，B正確；nitroglycerin擴張血管減輕心臟負荷，D正確。C說嗎啡只緩解疼痛、對前後負荷無影響，實則嗎啡具靜脈擴張作用能降低前負荷，並可減輕交感亢奮而降低後負荷與心肌耗氧，故C敘述錯誤，為本題答案。","心因性休克的藥物策略圍繞「提升收縮力、調整前後負荷、降低心肌耗氧」三軸。嗎啡除鎮痛外，透過中樞減少交感衝動與周邊靜脈擴張，把血液滯留於容量血管，減少回心血量，故在急性肺水腫時有卸載作用。Dobutamine與去甲腎上腺素常合併用於維持組織灌流。記憶點：嗎啡不是純止痛，它同時是靜脈擴張劑。",[24,27,30,32],{"term":25,"count":26},"心因性休克",7,{"term":28,"count":29},"前負荷與後負荷",3,{"term":31,"count":10},"Dobutamine",{"term":33,"count":10},"嗎啡靜脈擴張作用",[35,39,43,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-1-medical-surgical-020","有關靜脈剝除結紮手術（stripping and ligation）術後照護之敘述，下列何者錯誤？",20,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-114-3-medical-surgical-016","38 歲孕齡婦女，診斷為下肢深部靜脈栓塞，接受抗凝血劑 Heparin 注射治療，下列敘述何者最不適當？",16,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-115-2-medical-surgical-010","有關食道內視鏡檢查的敘述，下列何者錯誤？",10,115,2,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-106-2-medical-surgical-078","有關末期腎疾病（ESRD）病人，因腎性貧血接受紅血球生成素（EPO）治療之準則，下列何者錯誤？",78,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-108-1-medical-surgical-042","有關非何杰金氏淋巴瘤之治療，下列何者正確？",42,108,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-109-1-medical-surgical-076","乳癌病人接受化學治療效果不佳，病人主訴：「我希望能活到女兒結婚有個依靠，我就可以放心離開，就讓我活到那時候吧！」請問病人是處於 Kubler-Ross 心理反應的那一階段？",76,109,"2026-09-04",1788510757337]