— 藥理與非經腸給藥 · EASY · MCQ —
一位甲狀腺功能低下病人開始服用 Levothyroxine。護理師應強調哪項重點？
A client diagnosed with hypothyroidism is starting levothyroxine. Which information should the nurse emphasize?
- AStop the medication if you feel jittery如果你感到焦躁不安，請停止用藥
- BThe drug will provide immediate relief of symptoms該藥物會立即緩解症狀
- CNotify the provider if you experience palpitations✓ 正解如果你出現心悸，請通知醫師
- DTake the medication with breakfast for better absorption隨早餐服用藥物以促進吸收
— Explanation · 中文詳解 —
Levothyroxine 為甲狀腺素補充劑，若劑量過高會導致甲狀腺功能亢進症狀，包括心悸、心跳過速、震顫。病人必須空腹服用以促進吸收，且藥效需數週累積。若出現心悸，代表劑量過高或代謝過快，需調整藥物，不可自行停藥。
Levothyroxine replaces thyroid hormone; excessive dose can cause hyperthyroid symptoms such as palpitations, tachycardia, and tremor. The client must take it on an empty stomach for absorption, and therapeutic effect builds up over weeks. Palpitations suggest excessive dosage and require provider notification for dose adjustment; the client must not stop the drug on his own.
✦ 台美臨床差異
台灣健保制度下，甲狀腺藥物調整常搭配每季抽血，美國則更依賴遠距監測與電話諮詢。