The nurse asks the patient to tell her how to administer SL nitroglycerin when experiencing angina symptoms. The patient states, "I take the medication every 5 minutes until the pain is gone." How does the nurse respond to this information?
Select all that apply.
Instruct the patient to take one tablet sublingual at the onset of angina pain and repeat every 5 minutes for a total of 6 tablets if the pain is not resolved.
Instruct the patient to take one tablet
sublingual at the onset of angina pain and repeat every 5 minutes for a total of 3 tablets if the pain is not resolved.
Instruct the patient that if the pain is not resolved after taking nitroglycerin as recommended, it is necessary to drive to the ED for further treatment.
Instruct the patient that if there is no relief of angina symptoms after taking the recommended dose, contact the health care provider and arrange transportation to the ED right away.
Instruct the patient to
take one tablet sublingual at the onset of angina pain and double the dose until the pain is resolved.
Which will the nurse include in the teaching about sublingual nitroglycerin?
Place one tablet under the tongue. Inform the patient NOT to swallow or chew the tablet, but let it dissolve under the tongue. In addition, have the patient NOT eat or drink anything for 10-15 minutes after administration.
When administering nitroglycerin via the sublingual route you should?
How should this medicine be used? Nitroglycerin comes as a sublingual tablet to take under the tongue. The tablets is usually taken as needed, either 5 to 10 minutes before activities that may cause attacks of angina or at the first sign of an attack.
What do you need to monitor when administering nitroglycerin?
Any patient administered nitroglycerin who develops hypotension should receive a trial administration of IV fluids. Normal precautions for administration of fluids to patients with any type of heart failure, including monitoring of blood pressure and lung sounds apply.
What should the nurse assess before administering nitroglycerin?
Check blood pressure and pulse before each administration of NTG–blood pressure can drop precipitously after a single dose. Hold dose if systolic BP < 90 mm Hg or more than 30 mm Hg below baseline. NTG is highly unstable and should be stored in light resistant container in cool environment (not the refrigerator).