[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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,"freq":10},"nurse-108-1-內外科護理學-008","nurse-108-1-medical-surgical-008",108,1,8,"有關肌無力症病人發生疑似膽鹼性危象（cholinergic crisis）時的處置，下列何者適當？①增加抗膽鹼酯酶藥物 ②停止使用 Pyridostigmine（Mestinon） ③由靜脈注射 atropine ④由靜脈注射類固醇",{"A":14,"B":15,"C":16,"D":17},"①③","①④","②③","②④","C",null,[],"本題考點是重症肌無力發生膽鹼性危象時的處置。依病生理，膽鹼性危象源自抗膽鹼酯酶藥物過量、乙醯膽鹼過度堆積，處置原則是停用致病藥物並給予拮抗劑，故正解為 C（②停用 Pyridostigmine 併③靜脈注射 atropine）。①增加抗膽鹼酯酶藥物是錯誤方向，反而使乙醯膽鹼更過量、症狀惡化。②停用 Pyridostigmine（Mestinon）可移除過量來源，正確。③靜脈注射 atropine 為抗膽鹼藥，能拮抗過多的膽鹼性作用（如流涎、支氣管分泌增多、心搏過慢），正確。④靜脈注射類固醇並非膽鹼性危象的急性處置。判斷關鍵在於「膽鹼性危象＝藥物過量，須停藥＋給 atropine 拮抗」。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"session":10},"nurse-106-1-medical-surgical-001","有關巴金森氏病治療之敘述，下列何者正確？",106,{"webId":28,"stem":29,"number":30,"year":26,"session":10},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",2,{"webId":32,"stem":33,"number":34,"year":26,"session":10},"nurse-106-1-medical-surgical-003","下列何者為出血性腦中風最主要的危險因子？",3,{"webId":36,"stem":37,"number":38,"year":26,"session":10},"nurse-106-1-medical-surgical-004","有關頸部脊髓損傷的神經性休克徵象，下列何者正確？",4,{"webId":40,"stem":41,"number":42,"year":26,"session":10},"nurse-106-1-medical-surgical-005","陳小姐診斷為腦下垂體腫瘤，進行經蝶骨腦下垂體切除術，術後出現尿崩症，下列敘述何者錯誤？",5,{"webId":44,"stem":45,"number":46,"year":26,"session":10},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840744441]