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GTN counselling — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsGTN counsellingGPhC CRA

A patient is supplied glyceryl trinitrate spray for exertional chest pain. They ask how to use it when symptoms start while walking to the bus stop. They also take ramipril and atorvastatin. What would you advise the patient?

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

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Correct answer: ESit down, use one spray under the tongue, and seek emergency help if pain persists

GTN spray is used sublingually at the onset of angina, and the patient should sit down because dizziness and hypotension can occur. Persistent chest pain despite appropriate GTN use should prompt emergency medical help. It should not be swallowed or applied to the chest. Bathroom storage is unsuitable because heat and moisture can affect medicines.

Reference: BNF; NICE CKS