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藥理與非經腸給藥 · MEDIUM · SATA

病人使用舌下含服硝酸甘油。下列哪些指導是正確的?(選所有適合的)

Which of the following instructions are correct for a patient using sublingual nitroglycerin? (Select all that apply.)

  • APlace one tablet under the tongue✓ 正解
    將一錠置於舌下
  • BDo not swallow the tablet✓ 正解
    不要吞下藥錠
  • CIf pain persists after one dose, wait 5 minutes and call 911
    若一劑後疼痛未緩解,等待 5 分鐘並撥打 911
  • DStore in the original amber-colored bottle✓ 正解
    存放在原廠琥珀色瓶中
  • ETake up to 3 tablets 5 minutes apart✓ 正解
    每 5 分鐘服用一錠,最多三錠
Explanation · 中文詳解

硝酸甘油舌下含服應置於舌下,不可吞服。若胸痛未緩解,可每 5 分鐘含服一錠,最多 3 錠。若 3 錠無效應立即求救。須存放在遮光瓶中以免光線破壞藥效。選項 C 錯誤在於不應等到一錠無效才開始計時,應在含第一錠無效後立即求救並接續服用。

Sublingual nitroglycerin should be placed under the tongue and not swallowed. If chest pain is not relieved, an additional tablet may be taken every 5 minutes for up to three doses. If three doses are ineffective, emergency help must be summoned immediately. The medication should be stored in a light-protected bottle to prevent degradation. Option C is incorrect because the timing should not begin only after one tablet has failed; emergency help should be sought and additional doses continued as soon as the first dose is ineffective.

✦ 台美臨床差異

美國醫教強調含服後若無效立即求救(911);台灣則教導求救(119)與就醫流程,但衛教內容一致。

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