Preparation in Motion- A Nurse’s Careful Approach to Administering Sublingual Nitroglycerin

A nurse is preparing to administer sublingual nitroglycerin to a patient experiencing a severe episode of angina. The patient, a middle-aged man with a history of coronary artery disease, has been rushed to the emergency room with symptoms of chest pain and shortness of breath. The nurse, aware of the urgency and importance of the situation, meticulously checks the medication and prepares to provide immediate relief to the patient.

The nurse carefully retrieves the sublingual nitroglycerin tablet from the medication drawer, ensuring that it is the correct dosage prescribed by the attending physician. She then washes her hands thoroughly to maintain hygiene and prevent contamination. The nurse knows that the effectiveness of the medication relies on its immediate absorption through the mucous membranes in the patient’s mouth.

As she approaches the patient’s bedside, the nurse explains the purpose of the medication and reassures the patient that it will help alleviate his symptoms. She gently instructs the patient to place the tablet under his tongue and to keep it there until it dissolves completely. The nurse emphasizes the importance of staying calm and breathing slowly to enhance the absorption of the medication.

Once the patient has followed the instructions, the nurse monitors his vital signs closely, including his heart rate, blood pressure, and oxygen saturation levels. She remains vigilant, ready to provide additional support or intervene if the patient’s condition worsens. The nurse understands that the prompt administration of sublingual nitroglycerin can significantly reduce the risk of a heart attack and improve the patient’s chances of recovery.

While the patient waits for the medication to take effect, the nurse engages in conversation to keep him distracted and reassured. She provides updates on his condition and reassures him that the medical team is working diligently to ensure his well-being. The nurse’s calm demeanor and professional approach help alleviate the patient’s anxiety and provide a sense of comfort during this critical moment.

As the minutes pass, the patient’s symptoms begin to subside, and his vital signs stabilize. The nurse observes the positive response to the sublingual nitroglycerin and informs the attending physician of the patient’s improvement. The nurse’s skillful administration of the medication and her attentive care contribute to the patient’s recovery and the overall success of the emergency department team.

In conclusion, the nurse’s preparation and administration of sublingual nitroglycerin to a patient experiencing a severe episode of angina demonstrate the importance of prompt and effective medical intervention. The nurse’s attention to detail, empathy, and professional demeanor play a crucial role in providing optimal care and improving patient outcomes.