— 藥理與非經腸給藥 · MEDIUM · SATA —
護理師指導病人舌下含服硝酸甘油(nitroglycerin)治療心絞痛。下列哪些指導內容是正確的?(選所有適合的)
A nurse is teaching a client about taking sublingual nitroglycerin for angina. Which of the following 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自然溶解
- BDo not chew or swallow the tablet✓ 正解不要咀嚼或吞下藥片
- CIf pain persists after one tablet, call 911 immediately若服用一片後疼痛仍未緩解,立即撥打 911
- DKeep the medication in a dark, airtight container✓ 正解將藥物存放在深色且密閉的容器中
- ETake up to three tablets, spaced 5 minutes apart✓ 正解每隔 5 分鐘服用一片,最多服用三片
— Explanation · 中文詳解 —
舌下片正確用法:含於舌下溶解,不可吞服。若胸痛未緩解,每 5 分鐘含服一片,最多 3 片。若含服第一片後 5 分鐘疼痛未緩解或加劇,應立即呼叫急救系統(911/119),而非等吃完三片再報。藥物具光敏感性,需避光保存。
Nitroglycerin tablets should be placed under the tongue to dissolve for rapid absorption, as chewing or swallowing significantly reduces efficacy. The medication must be stored in a dark, airtight container to protect it from degradation by light and moisture, and patients should be instructed on the proper dosing schedule during an angina attack.
✦ 台美臨床差異
美國 EMT 體系發達,社區衛教常強調早期啟動 911;台灣民眾對於含服藥物後的緊急後送啟動時機常有猶豫。