Certification of Pharmacy Technicians (ExCPT) Practice Exam

Which medication form is commonly used with patients requiring emergency nitroglycerin administration?

1. Sublingual tablets

2. Sustained release capsules

3. Oral tablets

4. Injection

The correct answer is: Sublingual tablets

Sublingual tablets are the preferred form of nitroglycerin used in emergency situations because they dissolve rapidly under the tongue, allowing for quick absorption into the bloodstream. This is crucial in emergencies such as angina attacks, where immediate alleviation of chest pain is necessary. The sublingual route bypasses the gastrointestinal system and provides faster onset of action compared to other forms. In contrast, sustained release capsules are designed for prolonged effect and would not be suitable for acute emergencies. Oral tablets are also not ideal for immediate relief since they require time to dissolve and be absorbed through the digestive system. Injection forms, while capable of providing rapid onset, are usually reserved for specific clinical settings and require trained personnel for administration, making them less accessible in emergency scenarios compared to the ease and speed of sublingual administration.