A patient is being discharged with prescribed sublingual nitroglycerin. Which teaching points does the nurse include in the patient's care plan? (Select all that apply.)
a. Keep the tablet in place until it is dissolved.
b. Swallow the tablet with a full glass of water.
c. A tingling sensation means that the drug is potent.
d. Do not eat anything until after the tablet is dissolved.
e. Call your prescriber if chest pain persists after one tablet.
A, C, D, E
Sublingual or buccal nitroglycerin should not be swallowed because the liver destroys most of the drug and makes it ineffective. The drug should be kept in place until dissolved. Patients should not drink or eat until the tablet is dissolved. A tingling sensation as the tablet dissolves indicates that the drug is potent and any time a patient's chest pain persists after using one tablet, the prescriber should be notified.
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