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Pharmacology - NCLEX > Allergy and Asthma Medications (33) > Flashcards

Allergy and Asthma Medications (33) Flashcards

1
Q

TRIAMCINOLONE: Side Effects

A
  • Agitation
  • Oropharyngeal fungal infections
  • Headache
  • Blurred vision
  • Nausea, vomiting, diarrhea
  • Increased cough
  • Bronchitis
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2
Q

TRIAMCINOLONE: Nursing Considerations

A
  • Nasal spray: onset few days, peak 3–4 days
  • PO/IM: peak 1–2 hours
  • Use regular peak flow monitoring to determine respiratory status
  • Rx; Preg Cat C
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3
Q

TRIAMCINOLONE: Purpose

A

Treatment of chronic asthma and of seasonal or perennial rhinitis

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4
Q

MOMETASONE: Nursing Considerations

A
  • Nasal spray: onset few days, peak up to 3 weeks
  • Use regular peak flow monitoring to determine respiratory status
  • Rx; Preg Cat C
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5
Q

MOMETASONE: Side Effects

A
  • Hoarseness
  • Oropharyngeal fungal infections
  • Headache
  • Sore throat
  • Nasal congestion, cold symptoms
  • Nausea, vomiting, diarrhea
  • Muscle or joint pain
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6
Q

MOMETASONE: Purpose

A

Treatment of chronic asthma and of seasonal or perennial rhinitis

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7
Q

FLUTICASONE PROPIONATE SALMETEROL: Nursing Considerations

A
  • Oral inhalation; rinse mouth with water after inhalation
  • Twice-daily dosage, 12 hours apart; used long term
  • Use regular peak flow monitoring to determine respiratory status
  • Monitor growth of pediatric patient
  • May decrease bone mineral density
  • Monitor for eosinophilic conditions, hypokalemia, and hyperglycemia
  • Rx; Preg Cat C
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8
Q

FLUTICASONE PROPIONATE SALMETEROL: Side Effects

A
  • Nausea, vomiting, diarrhea
  • Headache
  • Hoarseness
  • Oropharyngeal fungal infections
  • Muscle and bone pain
  • Viral respiratory infections, bronchitis
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9
Q

FLUTICASONE PROPIONATE SALMETEROL: Purpose

A

Treatment of asthma that is not well controlled with long-term corticosteroids; treatment of COPD

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10
Q

FLUTICASONE: Nursing Considerations

A
  • Nasal spray: onset within 2 days, peak 1–2 weeks
  • Use regular peak flow monitoring to determine respiratory status
  • Rx; Preg Cat C
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11
Q

FLUTICASONE: Side Effects

A
  • Hoarseness
  • Oropharyngeal fungal infections
  • Headache
  • Nasal congestion, cold symptoms
  • Nausea, vomiting, diarrhea
  • Epistaxis (nosebleed), nasal irritation
  • Dyspnea
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12
Q

FLUTICASONE: Purpose

A

Treatment of chronic asthma and of seasonal and perennial rhinitis

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13
Q

FLUNISOLIDE: Nursing Considerations

A
  • Onset: few days
  • Use regular peak flow monitoring to determine respiratory status
  • Rx; Preg Cat C
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14
Q

FLUNISOLIDE: Side Effects

A
  • Dysphonia
  • Hoarseness
  • Oropharyngeal fungal infections
  • Headache
  • Sore throat
  • Nasal congestion, cold symptoms
  • Nausea, vomiting, diarrhea
  • Epistaxis (nosebleed)
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15
Q

FLUNISOLIDE: Purpose

A

Treatment of chronic asthma and of seasonal and perennial rhinitis

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16
Q

BECLOMETHASONE: Nursing Considerations

A
  • Prevention of recurrence of nasal polyps after surgical removal
  • Nasal spray: onset 5–7 days (up to 3 weeks in some patients), peak up to 3 weeks
  • Inhaler: onset 10 minutes
  • Use regular peak flow monitoring to determine respiratory status
  • Rinse mouth after each use to prevent oral fungal infections
  • Rx; Preg Cat C
17
Q

BECLOMETHASONE: Side Effects

A
  • Hoarseness
  • Oropharyngeal fungal infections
  • Headache
  • Sore throat
  • Dyspepsia
  • Rhinitis
  • Cough
  • Angioedema
18
Q

BECLOMETHASONE: Purpose

A

Treatment of chronic asthma and of seasonal and perennial rhinitis

19
Q

LORATADINE: Nursing Considerations

A
  • Avoid alcohol, CNS depressants
  • Take on empty stomach 1 hour before or 2 hours after meals
  • Onset 1–3 hours, peak 8–12 hours, duration ≥ 24 hours
  • OTC, Rx; Preg Cat B
20
Q

LORATADINE: Side Effects

A
  • Headache
  • Dry mouth
  • Diarrhea
  • Rash
  • Stomach pain
  • Tachycardia
21
Q

LORATADINE: Purpose

A

Management of seasonal rhinitis

22
Q

HYDROXYZINE: Nursing Considerations

A
  • PO: onset 15–30 minutes, duration 4–6 hours
  • Avoid use with alcohol, CNS depressants
  • Treatment of symptoms of alcohol withdrawal
  • Notify provider of diagnosis of glaucoma, ulcers, enlarged prostate gland, liver disease, hypertension, seizures, or hyperthyroidism
  • Rx; Preg Cat C
23
Q

HYDROXYZINE: Side Effects

A
  • Drowsiness
  • Dry mouth, nose, and throat
  • Dizziness
  • Headache
  • Chest congestion
24
Q

HYDROXYZINE: Purpose

A

Treatment of pruritus, pre-op anxiety, and post-op nausea/vomiting; potentiation of opioid analgesics and sedation

25
**FEXOFENADINE:** Nursing Considerations
* Avoid alcohol, CNS depressants * Notify provider if taking erythromycin or ketoconazole (Nizoral) * If taking aluminum magnesium antacid, take antacid a few hours before or after fexofenadine * Rx; Preg Cat C
26
**FEXOFENADINE:** Side Effects
* Drowsiness * Headache * Dizziness * Diarrhea * Vomiting * Rash * Itching * Hoarseness * Urinary retention
27
**FEXOFENADINE:** Purpose
Management of rhinitis and allergy symptoms
28
**DIPHENHYDRAMINE:** Nursing Considerations
* Take with meals for GI symptoms; absorption rate may slightly decrease * Take at bedtime only if using as sleep aid * PO: peak 2–4 hours * IM: onset 30 minutes, peak 2–4 hours * Should be discontinued 4 days before skin allergy tests * Avoid driving and other hazardous activities if drowsiness occurs * Avoid use of alcohol, CNS depressants * Rx
29
**DIPHENHYDRAMINE:** Side Effects
* Dizziness, drowsiness * Palpitations, hypotension * Blurred vision * Nausea, diarrhea * Dysuria * Urinary retention * Thrombocytopenia * Photosensitivity * Chest tightness, wheezing
30
**DIPHENHYDRAMINE:** Purpose
Relief of allergy symptoms, rhinitis, and motion sickness; nighttime sedation
31
**CETIRIZINE:** Nursing Considerations
* Relief of perennial allergic rhinitis caused by molds, animal dander, and other allergens * Avoid alcohol during cetirizine therapy * Call provider immediately for difficulty breathing or swallowing * Notify provider for hydroxyzine (Vistaril) allergy * OTC
32
**CETIRIZINE:** Side Effects
* Drowsiness * Dry mouth * Headache * Constipation
33
**CETIRIZINE:** Purpose
Relief of seasonal allergic rhinitis symptoms

Pharmacology - NCLEX (20 decks)

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