Learn the correct method for administering sublingual medications. Understand the difference between sublingual, buccal, oral, and intranasal routes of administration.
Table of Contents
Question
When a medication is ordered to be given sublingually, how is it given?
A. By mouth
B. Placed in the cheek
C. Placed under the tongue
D. Instilled in the nasal cavity
Answer
C. Placed under the tongue
Explanation
When a medication is ordered to be given sublingually, it means that the medication should be placed under the tongue (option C). Sublingual administration involves placing the medication beneath the tongue, where it dissolves and is absorbed into the bloodstream through the mucous membranes.
This route of administration is different from other methods, such as:
A. By mouth (oral): Swallowing the medication, which then travels through the digestive system before being absorbed.
B. Placed in the cheek (buccal): Placing the medication between the cheek and gum, where it dissolves and is absorbed through the mucous membranes of the cheek.
D. Instilled in the nasal cavity (intranasal): Spraying or dropping the medication into the nose, where it is absorbed through the nasal mucosa.
The sublingual route is preferred for certain medications because it allows for quick absorption into the bloodstream, bypassing the digestive system. This is particularly useful for medications that are poorly absorbed in the gut or are subject to first-pass metabolism in the liver, which can reduce their effectiveness.
Some common examples of medications that can be administered sublingually include nitroglycerin for angina, buprenorphine for opioid dependence, and certain hormones like testosterone or estradiol.
To administer a sublingual medication correctly, place the tablet, pill, or liquid under the tongue and allow it to dissolve completely. Instruct the patient not to swallow the medication or drink any fluids until it has fully dissolved, as this can affect the absorption and efficacy of the drug.
Test Prep MACE certification exam assessment practice question and answer (Q&A) dump including multiple choice questions (MCQ) and objective type questions, with detail explanation and reference available free, helpful to pass the Test Prep MACE exam and earn Test Prep MACE certification.