— 藥理與非經腸給藥 · HARD · SATA —
病人說出哪些話，表示需要對舌下含服硝酸甘油（Nitroglycerin）進行更多衛教？（選所有適合的）
Which statements by the client indicate a need for further teaching regarding sublingual nitroglycerin? (Select all that apply.)
- AI should keep the tablets in the original amber glass bottle我應該將藥片保存在原廠的琥珀色玻璃瓶中
- BI can take up to three tablets, five minutes apart我可以每隔五分鐘服用最多三片藥片
- CI should swallow the tablet immediately with a full glass of water✓ 正解我應該立即用一杯水吞服藥片
- DI might feel a tingling sensation under my tongue我可能會感到舌下有刺痛感
- EI should store the medication in the bathroom cabinet for easy access✓ 正解我應該將藥物存放在浴室櫃中以方便取用
— Explanation · 中文詳解 —
舌下含服硝酸甘油應含於舌下溶解，不能吞服，也不能喝水送服，否則藥效會經由胃腸道首渡效應而大幅降低。藥物應存放在避光、乾燥且陰涼處，浴室環境潮濕且溫差大，會加速藥物降解失效。刺痛感是藥物有效的表現，三片間隔五分鐘是正確的急救指導。
Sublingual nitroglycerin must be placed under the tongue to dissolve and absorb directly into the bloodstream, avoiding the gastrointestinal tract where first-pass metabolism would significantly reduce its efficacy. Additionally, the medication should be stored in a cool, dry place away from humidity, making bathroom storage inappropriate as moisture accelerates drug degradation.
✦ 台美臨床差異
兩地均強調藥物保存與含服方式，台灣居家環境潮濕，更需強調藥物存放的避光乾燥條件。