Pharmacology Myocardial Infarction Meds #2

Question

Which instructions about taking aspirin during an episode of angina given by the graduate nurse in the emergency department would cause the charge nurse to intervene? Select all that apply.

Answers

  1. Swallow the whole tablet with a full glass of water
    • Rationale:

      This answer is correct because the graduate nurse needs to be corrected and receive further education because aspirin tablets should not be swallowed whole with a full glass of water in this instance (during angina). Instead, it should be chewed thoroughly to promote quick absorption so the antiplatelet action can begin as soon as possible.

  2. Place this medication under your tongue
    • Rationale:

      This answer is correct because the graduate nurse needs to be corrected and receive further education because aspirin tablets are not designed to be administered by sublingual route (under the tongue). Sublingual nitroglycerin is also used when a client has chest pain (angina) so it is placed under the tongue, but aspirin is not. The aspirin tablet should be chewed thoroughly to promote quick absorption so the antiplatelet action can begin as soon as possible.

  3. Chew this medication completely and thoroughly
    • Rationale:

      This answer is not correct because this action is correct and does not require further education. The usual protocol is to have the client immediately chew a 325 mg aspirin tablet to expedite absorption. Sometimes, only 81 mg aspirin chewable tablets are available, so four tablets are chewed. Aspirin’s antiplatelet function can help reduce the size of the blood clot and reduce negative outcomes for the client.

  4. You will take another pill in 5 minutes if the pain persists
    • Rationale:

      This answer is correct because the graduate nurse needs to be corrected and receive further education. The nurse is likely thinking about sublingual nitroglycerin, which is also used when a client has chest pain (angina). This medication is placed under the tongue up to three times (once, every 5 minutes). One 325 mg aspirin tablet should be chewed thoroughly to be effective during angina.

  5. You will receive four 81 mg aspirin tablets to take at the same time
    • Rationale:

      This answer is not correct because this action is correct and does not require further education. The usual protocol is to have the client immediately chew a 325 mg aspirin tablet to expedite absorption. Sometimes, only 81 mg aspirin chewable tablets are available so four tablets are chewed. Aspirin’s antiplatelet function can help reduce the size of the blood clot and reduce negative outcomes for the client.

Overview

Aspirin therapy is used when a client experiences angina and other suspicious myocardial infarction symptoms. Effective dosage and effective dosage of aspirin during angina episodes can help reduce the size of the blood clot and reduce morbidity and mortality.

Explanation

Learning Outcomes

Aspirin therapy during an acute episode of angina is part of the protocol for clients with suspected myocardial infarction (MI). The usual protocol is to have the client immediately chew a 325 mg aspirin tablet to expedite absorption. Sometimes, only 81 mg aspirin chewable tablets are available so four tablets are chewed. Aspirin’s antiplatelet function can help reduce the size of the blood clot and reduce negative outcomes for the client.

Test Taking Tip

When a question states the nurse “needs further education”, the test taker should look for actions or statements which are incorrect. Slow down and be cautious when the question asks this.

Video Rationale