[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-2-medical-surgical-044":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-115-2-內外科護理學-044","nurse-115-2-medical-surgical-044",115,2,44,"有關低血糖的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"初期常會先出現中樞神經症狀，如頭痛、反應遲鈍","與糖尿病酮酸中毒造成的昏迷相比，其危險性較高","易發生在從事劇烈運動後或胰島素作用高峰時段內","失去意識時應立即靜脈注射 20～50 mL 的 50%葡萄糖","A",null,[],"本題考點是低血糖症狀的出現順序。依生理代償反應,血糖下降初期由自主神經與腎上腺素主導,先出現心悸、發抖、冒冷汗、飢餓感、臉色蒼白與焦躁等交感神經症狀;頭痛、反應遲鈍、視力模糊、意識混亂與抽搐等中樞神經症狀,屬腦部葡萄糖供應更為不足的後期表現,故 A 說初期先出現中樞神經症狀為錯誤。B 正確,腦細胞幾乎只能利用葡萄糖,低血糖昏迷可在短時間造成不可逆損傷,危險性高於漸進發生的糖尿病酮酸中毒昏迷。C 正確,劇烈運動後與胰島素作用高峰時段是常見發生時機。D 正確,失去意識無法由口進食時以高濃度葡萄糖靜脈注射矯正。","延伸機轉:交感神經症狀是身體發出的警報,長期糖尿病或使用乙型受體阻斷劑者這層警報可能被鈍化,形成無感覺性低血糖而直接進入意識障礙,這是臨床上特別重視自我血糖監測的原因。與酮酸中毒的區辨口訣:低血糖是又冷又濕又抖、發作快;酮酸中毒是又乾又熱又深呼吸、有爛蘋果味、發作以小時到天計。處置階梯的原理也很直觀——意識清楚可由口給 15 公克快吸收糖類並在十五分鐘後複測;意識不清則不可由口,改走靜脈或肌肉注射路徑,避免嗆咳。可連結概念:胰島素作用時間曲線、黎明現象與 Somogyi 效應、運動前後血糖調整原則。",[24,27,29,31,33],{"term":25,"count":26},"低血糖症狀順序",1,{"term":28,"count":26},"腎上腺素代償反應",{"term":30,"count":26},"中樞神經葡萄糖依賴",{"term":32,"count":26},"糖尿病酮酸中毒對比",{"term":34,"count":26},"高濃度葡萄糖靜脈注射",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-2-medical-surgical-045","副甲狀腺切除術後易發生下列何種現象？",45,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-106-2-medical-surgical-011","下列何者顯示結腸造口病人可能有貧血現象？",11,106,{"webId":46,"stem":47,"number":48,"year":49,"session":26},"nurse-107-1-medical-surgical-025","有關左心室肥大評估結果之敘述，下列何者錯誤？",25,107,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-108-1-medical-surgical-063","有關病人因焦慮而過度通氣造成之酸鹼不平衡，下列何者正確？",63,108,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-109-2-medical-surgical-027","心包填塞（cardiac tamponade）之臨床表徵，下列何者正確？①低沉的心音 ②中心靜脈壓上升 ③奇異脈 ④脈搏壓變寬",27,109,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-110-2-medical-surgical-061","有關急性腎絲球腎炎的敘述，下列何者錯誤？",61,110,"2026-08-06",1787299037331]