The client need more explanation from the nurse regarding the contraindications of chewing, crushing, or ingesting Nitroglycerin sublingual pills. The tablet should be dissolved by placing it beneath the tongue or in the space between the cheek and gum.
<h3>What key elements would the nurse emphasize while teaching the client how to use nitroglycerin to treat angina?</h3>
Adults: At the first indication of an angina attack, insert 1 tablet under the tongue or in the space between the cheek and gum. Use 1 pill as needed, up to 15 minutes at a time, every 5 minutes. Take no more than three tablets in a 15-minute period. Use 1 tablet 5 to 10 minutes prior to the activity to prevent angina from stress or exertion.
<h3>When administering nitroglycerin, what should be observed?</h3>
Any nitroglycerin-treated patient who experiences hypotension should have a trial IV fluid delivery. Fluid administration to patients with any form of heart failure is subject to standard safety procedures, including monitoring of blood pressure and lung sounds.
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