Allergy and Asthma Medications (33) Flashcards
TRIAMCINOLONE: Side Effects
- Agitation
- Oropharyngeal fungal infections
- Headache
- Blurred vision
- Nausea, vomiting, diarrhea
- Increased cough
- Bronchitis
TRIAMCINOLONE: Nursing Considerations
- 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
TRIAMCINOLONE: Purpose
Treatment of chronic asthma and of seasonal or perennial rhinitis
MOMETASONE: Nursing Considerations
- Nasal spray: onset few days, peak up to 3 weeks
- Use regular peak flow monitoring to determine respiratory status
- Rx; Preg Cat C
MOMETASONE: Side Effects
- Hoarseness
- Oropharyngeal fungal infections
- Headache
- Sore throat
- Nasal congestion, cold symptoms
- Nausea, vomiting, diarrhea
- Muscle or joint pain
MOMETASONE: Purpose
Treatment of chronic asthma and of seasonal or perennial rhinitis
FLUTICASONE PROPIONATE SALMETEROL: Nursing Considerations
- 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
FLUTICASONE PROPIONATE SALMETEROL: Side Effects
- Nausea, vomiting, diarrhea
- Headache
- Hoarseness
- Oropharyngeal fungal infections
- Muscle and bone pain
- Viral respiratory infections, bronchitis
FLUTICASONE PROPIONATE SALMETEROL: Purpose
Treatment of asthma that is not well controlled with long-term corticosteroids; treatment of COPD
FLUTICASONE: Nursing Considerations
- Nasal spray: onset within 2 days, peak 1–2 weeks
- Use regular peak flow monitoring to determine respiratory status
- Rx; Preg Cat C
FLUTICASONE: Side Effects
- Hoarseness
- Oropharyngeal fungal infections
- Headache
- Nasal congestion, cold symptoms
- Nausea, vomiting, diarrhea
- Epistaxis (nosebleed), nasal irritation
- Dyspnea
FLUTICASONE: Purpose
Treatment of chronic asthma and of seasonal and perennial rhinitis
FLUNISOLIDE: Nursing Considerations
- Onset: few days
- Use regular peak flow monitoring to determine respiratory status
- Rx; Preg Cat C
FLUNISOLIDE: Side Effects
- Dysphonia
- Hoarseness
- Oropharyngeal fungal infections
- Headache
- Sore throat
- Nasal congestion, cold symptoms
- Nausea, vomiting, diarrhea
- Epistaxis (nosebleed)
FLUNISOLIDE: Purpose
Treatment of chronic asthma and of seasonal and perennial rhinitis
BECLOMETHASONE: Nursing Considerations
- 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
BECLOMETHASONE: Side Effects
- Hoarseness
- Oropharyngeal fungal infections
- Headache
- Sore throat
- Dyspepsia
- Rhinitis
- Cough
- Angioedema
BECLOMETHASONE: Purpose
Treatment of chronic asthma and of seasonal and perennial rhinitis
LORATADINE: Nursing Considerations
- 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
LORATADINE: Side Effects
- Headache
- Dry mouth
- Diarrhea
- Rash
- Stomach pain
- Tachycardia
LORATADINE: Purpose
Management of seasonal rhinitis
HYDROXYZINE: Nursing Considerations
- 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
HYDROXYZINE: Side Effects
- Drowsiness
- Dry mouth, nose, and throat
- Dizziness
- Headache
- Chest congestion
HYDROXYZINE: Purpose
Treatment of pruritus, pre-op anxiety, and post-op nausea/vomiting; potentiation of opioid analgesics and sedation
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
FEXOFENADINE: Side Effects
- Drowsiness
- Headache
- Dizziness
- Diarrhea
- Vomiting
- Rash
- Itching
- Hoarseness
- Urinary retention
FEXOFENADINE: Purpose
Management of rhinitis and allergy symptoms
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
DIPHENHYDRAMINE: Side Effects
- Dizziness, drowsiness
- Palpitations, hypotension
- Blurred vision
- Nausea, diarrhea
- Dysuria
- Urinary retention
- Thrombocytopenia
- Photosensitivity
- Chest tightness, wheezing
DIPHENHYDRAMINE: Purpose
Relief of allergy symptoms, rhinitis, and motion sickness; nighttime sedation
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
CETIRIZINE: Side Effects
- Drowsiness
- Dry mouth
- Headache
- Constipation
CETIRIZINE: Purpose
Relief of seasonal allergic rhinitis symptoms
