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護理師正衛教剛開始服用metoprolol 25 mg每日2次治療高血壓之病人。哪些陳述應納入病人衛教？請選擇所有適用項目。

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1 "Take your pulse before each dose; if it is below 60 beats per minute or you feel dizzy, hold the dose and call the provider before taking the next dose." 「每劑前測脈搏；若每分鐘低於60或感覺頭暈，暫停該劑並於下劑前聯絡醫師。」 2 "You may experience fatigue, cold extremities, or sexual dysfunction; report bothersome symptoms but do not stop on your own." 「您可能會感到疲勞、四肢冰冷或性功能障礙；如有困擾請通報但不要自行停藥。」 3 "Do NOT stop metoprolol abruptly; sudden discontinuation can cause rebound hypertension, tachycardia, angina, or even MI. Tapering must be supervised by your provider." 「不可突然停用metoprolol；突然停藥可能引發反彈性高血壓、心搏過速、心絞痛甚至心肌梗塞。減量需在醫師監督下進行。」 4 "Rise slowly from sitting or lying positions to reduce orthostatic hypotension and dizziness; this is especially important during the first weeks." 「由坐姿或臥姿緩慢起身以降低姿勢性低血壓與頭暈；最初數週尤其重要。」 5 "If you develop fatigue, weakness, or dizziness, stop taking metoprolol immediately and contact your provider because these may indicate a serious heart problem." 如果您出現疲勞、虛弱或頭暈，請立即停止服用 metoprolol，並聯絡您的醫療提供者，因為這些可能表示有嚴重心臟問題。

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