How many nitro tabs before pt should call 911? - page 2
I am studying for my final in Med Surg II and am totally confused about nitro. I am doing practice NCLEX questions from an NCLEX book. The question was "Which comment by the client would indicate... Read More
Nov 2, '16 by tweetRN2009Quote from sandyfeetI take SL nitros and the one about putting it between your cheek and gum may be right bc it's actually still considered SL that way. I know technically that's subbuccal but they say you can take nitro that way too and package insert says you can take them that way. BUT I was taught take 1 if no relief after 5 mins take 2nd and call EMS. If after 5 mins no relief and waiting on EMS take 3rd. That's what package insert says too. Tricky question.If only they were obviously wrong!
"I will put the nitroglycerine between my cheek and gum whenever I begin to have any chest pain." (Wrong because it says in the stem that the drug is sublingual)
"I will take the nitroglycerine when I get up in the morning and whenever I experience chest pain during the day." (Wrong...but some sources say to take nitro as a prophylactic for activities that could cause chest pain...could read too far into this one...)
"I know that nitroglycerine is important to help prevent any further damage to the arteries in my heart." (Um...well it dilates the arteries...too much constriction could cause damage...right?)
It's a credit to my Pharm professor that I remembered her example 2 years after the fact! She made us calculate the exact time with this crazy question, something like "Your patient takes the first tab at 12:00, when do they call". Now I must un-remember.