一位病人因甲狀腺功能低下被處方使用 levothyroxine，護理師應包含哪些衛教內容？（選所有適合的）
A client is prescribed levothyroxine for hypothyroidism. Which patient education points should the nurse include? (Select all that apply.)
- ATake the medication in the morning on an empty stomach✓ 正解早晨空腹服用藥物
- BReport symptoms of rapid heart rate or palpitations✓ 正解報告心跳過快或心悸的症狀
- CExpect symptom relief within 24 hours預期症狀在24小時內緩解
- DDo not stop the medication without consulting the physician✓ 正解未經醫師諮詢勿停止用藥
- ETake the medication with breakfast to prevent stomach upset與早餐一起服用藥物以預防胃部不適
Levothyroxine 用於治療甲狀腺功能低下，藥物吸收極易受食物干擾。必須在清晨空腹服用，以確保穩定吸收。由於藥物劑量調整需精確，若劑量過高會導致醫源性甲狀腺功能亢進，故需監測心跳加快、心悸、失眠等副作用。此外，本藥需長期規律服用，不可隨意停藥，否則症狀會復發。藥物起效緩慢，通常需數週才能觀察到症狀改善，病人需具備心理準備。
Levothyroxine should be taken on an empty stomach in the morning to ensure optimal absorption, as food can interfere with its efficacy. Clients must report symptoms of rapid heart rate or palpitations, which may indicate overdose or iatrogenic hyperthyroidism. Since this is typically lifelong therapy, patients should not discontinue the medication without consulting their provider, and they should understand that symptom relief may take several weeks.