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藥理與非經腸給藥 · MEDIUM · MCQ

病人獲處方舌下含服硝酸甘油(Nitroglycerin)治療穩定型心絞痛,下列哪項指導正確?

A client is prescribed sublingual nitroglycerin for stable angina. Which instruction is correct?

  • ASwallow the tablet with a full glass of water
    用一杯水吞服藥片
  • BTake up to 3 tablets at 5-minute intervals if pain persists✓ 正解
    若疼痛持續,每 5 分鐘服用最多 3 顆藥片
  • CChange position quickly after taking the medication
    服藥後迅速改變姿勢
  • DStore the medication in the original plastic container
    將藥物存放在原廠塑膠容器中
Explanation · 中文詳解

舌下硝酸甘油(sublingual nitroglycerin)的標準使用指引:(1) 病人胸痛時讓藥錠於舌下溶解吸收(不可吞服,B 反方向);(2) 標準劑量間隔為「每 5 分鐘 1 顆,最多 3 顆」(B 正解);(3) 若 3 顆後胸痛未緩解需立即呼叫急救/撥 911;(4) 藥物對光與熱敏感,需保存在原裝深色玻璃瓶(C 為塑膠容器,錯誤);(5) 給藥後會引起血管擴張造成姿勢性低血壓,需緩慢改變姿勢(D 反方向)。

Standard instructions for sublingual nitroglycerin: (1) when the client has chest pain, the tablet should be allowed to dissolve under the tongue for absorption (not swallowed; A is the reverse); (2) the standard dosing interval is 'one tablet every 5 minutes for up to 3 tablets' (B is correct); (3) if chest pain is not relieved after 3 tablets, emergency services (e.g., 911) must be activated immediately; (4) the drug is sensitive to light and heat and must be stored in its original dark glass bottle (C, plastic container, is incorrect); (5) administration causes vasodilation and orthostatic hypotension, so position changes must be made slowly (C is the reverse).

✦ 台美臨床差異

兩地衛教內容一致,均強調含服而非吞服的重要性。

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