A patient has been prescribed transdermal nitroglycerin patches. What medication education should the nurse provide?
1. Place the patch on the upper arm or leg.
2. Rotate sites of application.
3. Remove the patch for an hour each day.
4. Cleanse the skin under the patch after removal.
5. Triple wrap the patch in plastic wrap for disposal.
2,4
Rationale 1: The patch should not be applied to the arm or leg as increased muscle activity may increase drug absorption.
Rationale 2: Sites of application should be rotated to prevent irritation.
Rationale 3: The patch should be removed for a period of 6–12 hours as directed, typically at night or when the patient is sleeping.
Rationale 4: After removing the patch, it is important to cleanse the skin to remove any residual medication.
Rationale 5: While it is important to dispose of these patches carefully, triple wrapping in plastic wrap is not necessary.
Global Rationale: Sites of application should be rotated to prevent irritation. After removing the patch, it is important to cleanse the skin to remove any residual medication. The patch should not be applied to the arm or leg as increased muscle activity may increase drug absorption. The patch should be removed for a period of 6–12 hours as directed, typically at night or when the patient is sleeping. While it is important to dispose of these patches carefully, triple wrapping in plastic wrap is not necessary.
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