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GTN spray counselling — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsGTN spray counsellingGPhC CRA

A 63-year-old man collects his first glyceryl trinitrate spray for exertional angina. He asks how to use it when chest pain starts. What would you advise the patient?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: CSit down, use one or two sprays under the tongue, and seek emergency help if pain persists

GTN can cause dizziness and hypotension, so the patient should sit before using it. It is sprayed under the tongue for rapid relief. Persistent pain despite repeat use may indicate ACS and requires emergency assessment.

Reference: BNF; NICE CKS