[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-medical-surgical-034":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-114-3-內外科護理學-034","nurse-114-3-medical-surgical-034",114,3,34,"有關心肌梗塞急性期處置，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"注射 Heparin 需密切監測凝血酶原時間（PT）","急性疼痛時，可使用 Aspirin","採取平躺姿勢可降低心臟負荷","ST 段上升型可於 12 小時內給予血栓溶解劑","D",null,[],"本題考點在於急性心肌梗塞(MI)的再灌流與急性期處置。正解D:ST段上升型心肌梗塞(STEMI)若無法即時行心導管,可於症狀發作12小時內給予血栓溶解劑以溶解冠狀動脈血栓、恢復再灌流,時間窗正確故最適當。A錯誤,未分餾Heparin應監測活化部分凝血活酶時間(aPTT)而非凝血酶原時間(PT);B錯誤,Aspirin為抗血小板藥,緩解MI急性劇痛應用嗎啡(morphine)類而非以Aspirin止痛;C錯誤,急性期宜採半坐臥(Fowler's)以減少靜脈回流與心肌耗氧,平躺反而增加心臟負荷。故選D。","STEMI再灌流首選經皮冠狀動脈介入(PCI),door-to-balloon目標小於90分鐘;無法及時PCI則door-to-needle小於30分鐘給溶栓劑,黃金12小時內效益最大。MONA記憶(嗎啡、氧氣、硝酸甘油、阿斯匹靈)為急性期基礎,其中Aspirin抗血小板、morphine止痛減焦慮。Heparin抗凝監測aPTT,Warfarin才看PT\u002FINR。",[24,27,30,32],{"term":25,"count":26},"Heparin監測aPTT",2,{"term":28,"count":29},"STEMI血栓溶解劑",1,{"term":31,"count":29},"再灌流時間窗",{"term":33,"count":29},"嗎啡止痛",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-3-medical-surgical-035","有關肺心症病人呼吸道清除功能失效問題之護理處置，下列敘述何者最不適當？",35,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-115-2-medical-surgical-031","下列何者不是愛滋病人服用高效能抗反轉錄病毒治療（俗稱雞尾酒療法）之副作用？",31,115,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-106-1-medical-surgical-075","有關心肺復甦術時胸部按壓之敘述，下列何者錯誤？",75,106,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-107-2-medical-surgical-033","有關降低心衰竭病人心臟後負荷之措施，下列何者正確？",33,107,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-108-2-medical-surgical-077","2015 年修改「成人生存之鏈」，其中醫院內心臟停止的照護途徑不包括下列何者？",77,108,{"webId":60,"stem":61,"number":42,"year":62,"session":29},"nurse-110-1-medical-surgical-031","急性心肌梗塞的診斷檢查，下列何者最具專一性？",110,"2026-09-04",1788510762135]