— 藥理與非經腸給藥 · MEDIUM · SATA —
對於開始服用 Levothyroxine 的病人，應提供下列哪些指導？（選所有適合的）
Which of the following instructions should be provided to a client starting Levothyroxine? (Select all that apply.)
- ATake the medication in the morning on an empty stomach✓ 正解早晨空腹服用藥物
- BExpect full therapeutic effects within 24 hours預期在 24 小時內達到完整療效
- CReport symptoms of palpitations or nervousness✓ 正解報告心悸或緊張的症狀
- DAvoid taking the medication with calcium supplements✓ 正解避免與鈣補充劑同時服用藥物
- EMonitor for weight loss監測體重減輕
— Explanation · 中文詳解 —
Levothyroxine 用於治療甲狀腺功能低下，建議空腹服藥以提升吸收率。藥物達到穩定濃度需數週，並非 24 小時內即見效。若劑量過高會導致甲狀腺亢進徵兆（如心悸、緊張），需回報。鈣補充劑會影響藥物吸收，需間隔時間服用。
Levothyroxine should be taken on an empty stomach in the morning to ensure consistent absorption, and calcium supplements should be avoided as they interfere with uptake. Clients must report symptoms of palpitations or nervousness, which may indicate hyperthyroidism due to overdosage, and understand that full therapeutic effects take several weeks rather than appearing within 24 hours.
✦ 台美臨床差異
兩地皆強調服藥時間點，但在台灣臨床衛教中，常會特別提醒病人此藥需長期規律服用，不可隨意停藥。