— 藥理與非經腸給藥 · MEDIUM · SATA —
護理師指導病人使用舌下硝酸甘油片。應包含哪些衛教內容？（選所有適合的）
A nurse is teaching a client about the use of sublingual nitroglycerin. Which instructions should be included? (Select all that apply.)
- APlace the tablet under the tongue and let it dissolve✓ 正解將藥片置於舌下並讓其溶解
- BKeep the medication in a cool, dark place in its original bottle✓ 正解將藥物保存在原裝瓶內，置於陰涼黑暗處
- CIf pain persists after one dose, call emergency services immediately✓ 正解如果服用一劑後疼痛仍未緩解，請立即撥打急救電話
- DThe medication should cause a tingling sensation under the tongue✓ 正解藥物應會在舌下產生刺痛感
- EStore the medication in the bathroom medicine cabinet for easy access將藥物存放在浴室藥櫃以便取用
— Explanation · 中文詳解 —
硝酸甘油片對光與熱極不穩定。正確用法是置於舌下讓其吸收，若發生刺痛感代表藥物仍具活性。儲存需保持原瓶罐，避光且陰涼，不可置於浴室（濕熱會導致失效）。若服藥後胸痛未緩解，需立即撥打急救電話，而非等待三顆服滿才求救（現行指引強調早期反應）。
Sublingual nitroglycerin must be placed under the tongue to allow rapid absorption that bypasses hepatic metabolism. The medication should be stored in its original container in a cool, dark place because heat and light degrade its potency, indicated by a tingling sensation under the tongue. If chest pain persists after the first dose, the client should seek immediate emergency assistance rather than waiting.
✦ 台美臨床差異
美國常建議隨身攜帶，台灣因氣候較潮濕，醫師常強調放置於家中陰涼處而非隨身攜帶。