The nurse is providing patient education to a patient who has just been given a new prescription for sublingual nitroglycerin tablets. Which statement by the patient would indicate a need for additional teaching? "I should
a. take the nitro every 2 to 3 minutes until my pain goes away."
b. take one tablet every 5 minutes, up to a total of three tablets if needed."
c. store my nitroglycerin in its original dark bottle to protect it from light."
d. keep the bottle of nitro tightly closed to protect the tablets."
ANS: A
This dosing schedule is incorrect. The correct method of taking SL nitroglycerin is prn, with a dose at onset, a second dose in 5 minutes, and then a third dose within 5 minutes after that, if indicated and the blood pressure (BP) is stable. This statement indicates that further teaching is required.
This is the correct dosing schedule for SL nitroglycerin.
The bottle should be kept in a cool place out of direct sunlight, and the lid should be kept tightly closed to prevent disintegration of the tablets.
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