Promotion of drainage in the sinuses and improving air flow Pharmacokinetics o

Promotion of drainage in the sinuses and improving

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Promotion of drainage in the sinuses and improving air flow Pharmacokinetics o Well absorbed, widely distributed in the body o Metabolized in the liver and primarily excreted in urine
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Oral Decongestants #3 Oral Decongestants #3 Contraindications o Any condition that might be exacerbated by sympathetic activity Adverse Effects o Rebound congestion o Sympathetic effects Drug-to-Drug Interactions o OTC products that contain pseudoephedrine; taking concurrently can cause serious side effects
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Nursing Considerations for Oral Decongestants Nursing Considerations for Oral Decongestants Assess: o History and Physical Exam and known allergy o Pregnancy, lactation, hypertension, CAD o Hyperthyroidism, diabetes mellitus, or prostate enlargement o Orientation, reflexes, and affect o VS and LS o Prototype: Pseudoephedrine
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Topical Nasal Steroid Decongestants #1 Topical Nasal Steroid Decongestants #1 Drugs: beclomethasone (Beconase), budesonide (Pulmicort, Rhinocort), flunisolide (Nasalide), fluticasone (Flonase), triamcinolone (Nasacort) Actions- relieve inflammation o Antiinflammatory effect o Work to turn off the immune system cells involved in the inflammatory response o Decreased inflammation results in decreased congestion. Not associated with rebound congestion
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Topical Nasal Steroid Decongestants #2 Topical Nasal Steroid Decongestants #2 Indications o Often used prophylactically to prevent nasal congestion in patients with chronic upper respiratory tract symptoms, Seasonal allergic rhinitis; Inflammation after the removal of nasal polyps Pharmacokinetics o Generally not absorbed systemically Contraindications o Acute infection Caution o Active infection o Avoid exposure to airborne infections
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Nursing Considerations for Topical Nasal Steroid Decongestants Nursing Considerations for Topical Nasal Steroid Decongestants Assess: o History and Physical Exam and known allergy o Nasal mucosa, respiration and adventitious sounds o Temperature
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Prototype Topical Nasal Steroid Decongestants Prototype Topical Nasal Steroid Decongestants
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Antihistamines #1 Antihistamines #1 Relieve respiratory symptoms and treat allergies First-generation (Anticholinergic effects/ Drowsiness) o Brompheniramine ( J-Tan ), Diphenhydramine (Benedryl), Chlorpheniramine( Aller-Chlor ), Promethazine(Phenergan) and many others o See table 54.3 Second generation (Nonsedating) o Fexofenadine (Allegra), Loratadine (Claritin), Cetirizine (Zyrtec),
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Copyright © 2017 Wolters Kluwer • All Rights Reserved Antihistamines #2 Antihistamines #2 Actions: Antihistamines have several properties o Antihistaminic, Anticholinergic, Sedative o
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  • Fall '11
  • DawnKuerschner
  • Nursing, Mucus, Wolters Kluwer Health,  Antitussives

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