Dosage Forms>Administration Error Prevention Practice Test

Mr. K is a 62-year-old man with stable coronary artery disease who just picked up nitroglycerin 0.4 mg sublingual tablets for chest pain. He says he plans to keep a few tablets in his weekly pill organizer and take one with a sip of water if pain occurs while he is driving his delivery truck. He reports dry mouth from oxybutynin and asks if he can crush the tablet to make it work faster. He is unsure how long to wait between doses and whether he should lie down. His blood pressure today is 128/72 mm Hg and heart rate 66 bpm. The pharmacist wants to prevent an administration error that could delay relief or increase risk.

Mr. H is a 68-year-old man with stable angina started on nitroglycerin 0.4 mg sublingual tablets for acute chest pain. He has hypertension and hyperlipidemia controlled on lisinopril and atorvastatin. At pickup, he says, 'When I get chest pain, I'll take one and swallow it quickly with water to get it down.' He reports occasional lightheadedness when standing and wonders if he should lie down after taking a pill. He keeps medications in a weekly pill organizer and asks if he can put some nitroglycerin tablets in it for convenience. He has no erectile dysfunction medications and drinks alcohol socially. The pharmacist wants to prevent a dosing-form mistake with this new medication before he leaves the pharmacy.