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藥理與非經腸給藥 · EASY · SATA

護理師指導病人使用舌下硝化甘油緩解心絞痛。應包含哪些衛教內容?(選所有適合的)

A nurse is teaching a client about the administration of sublingual nitroglycerin for angina. Which instructions should be included? (Select all that apply.)

  • APlace the tablet under the tongue and let it dissolve✓ 正解
    將錠劑置於舌下並讓其自然溶解
  • BSwallow the tablet immediately with water
    立即用水吞服錠劑
  • CStore the medication in a dark, airtight container✓ 正解
    將藥物儲存在深色、密封容器中
  • DTake a second dose if pain persists after 5 minutes✓ 正解
    若5分鐘後疼痛未緩解,服用第二劑
  • ESeek emergency medical help if pain is not relieved after 3 doses✓ 正解
    若服用3劑後疼痛仍未緩解,請尋求緊急醫療協助
Explanation · 中文詳解

硝化甘油舌下錠必須經由黏膜吸收才有效。正確做法是置於舌下含服,不可吞服。藥物對光線和空氣敏感,需存放在原裝深色瓶中。若疼痛持續,每 5 分鐘可服用一顆,最多三顆,若仍未改善,代表可能發生心肌梗塞,需立即就醫。

Sublingual nitroglycerin tablets must be absorbed through the mucous membrane to be effective. The correct method is to place the tablet under the tongue, not to swallow it. The medication is sensitive to light and air and must be stored in its original dark-colored bottle. If pain persists, one tablet may be taken every 5 minutes, up to a maximum of three tablets; if there is still no improvement, this may indicate myocardial infarction and the client should seek immediate medical care.

✦ 台美臨床差異

美國常由護理師提供詳細衛教手冊,台灣臨床較常由藥師進行用藥指導,護理師輔助確認。

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