護理師教導一位新開立舌下硝酸甘油的病人。下列哪些陳述代表病人理解衛教內容？（選所有適合的）
A nurse is teaching a client who has a new prescription for sublingual nitroglycerin. Which statements indicate the client understands the teaching? (Select all that apply.)
- AI should take one tablet every 5 minutes for up to three doses for chest pain✓ 正解我應該為了胸痛每 5 分鐘服用一片，最多三劑
- BIf I still have chest pain after the first dose, I should call 911✓ 正解如果服用第一劑後胸痛仍未緩解，我應該撥打 911
- CI should store the tablets in my refrigerator我應該將藥片存放在冰箱裡
- DI can expect to feel a slight tingling sensation under my tongue✓ 正解我預期舌下會有輕微的刺痛感
- EI should sit or lie down before taking a dose✓ 正解服用劑量前我應該坐下或躺下
舌下硝酸甘油（Sublingual Nitroglycerin）是治療心絞痛（Angina Pectoris）的快速作用藥物，透過擴張血管、減少心臟負荷來緩解胸痛。對於心絞痛病人來說，正確使用硝酸甘油是自我管理和預防心肌梗塞（Myocardial Infarction）惡化的重要一環。護理師的衛教內容必須全面且精確，涵蓋用藥時機、劑量、注意事項以及何時尋求緊急醫療協助，確保病人能夠在關鍵時刻安全有效地使用此藥物。了解這些指導原則能有效提升病人的用藥安全與治療效果。
Sublingual nitroglycerin is a rapid-acting medication used to treat angina pectoris; it relieves chest pain by dilating blood vessels and reducing cardiac workload. For clients with angina, correct use of nitroglycerin is essential for self-management and for preventing progression to myocardial infarction. Nursing teaching must be comprehensive and precise, covering the timing of administration, dosing, precautions, and when to seek emergency medical assistance, so that the client can use this medication safely and effectively at critical moments. Understanding these instructions improves medication safety and therapeutic outcomes.
舌下硝酸甘油的用藥指導在台灣和美國的臨床實踐中是高度一致的。兩地護理師都會強調「胸痛時每 5 分鐘含服一片，最多三片；若第一片後未緩解或加重應立即撥打緊急電話（台灣為119，美國為911）」的標準流程。藥物儲存方式（避光、室溫、原瓶裝）和預期副作用（舌下刺痛、頭暈、體位性低血壓）的衛教內容也基本相同。因此，此題的臨床實踐在兩地並無顯著差異。