Allergy/ Inflammation

Question 1

Loratidine (PO)

Answer 1

Indication: Seasonal allergies, Hives

Contraindications: Hypersensitivity

Side Effects: Drowsiness, Dry mouth

Adverse Reactions: Blurred vision, GI upset

Nursing Considerations: Assess for S/S of allergy, Assess lung sounds and bronchial secretions

Patient Teachings: Take drug exactly as directed, May cause drowsiness (avoid driving), avoid alcohol

Question 2

Hydrocortisone cream (Topical)

Answer 2

Indication: Inflammation and itching from allergic/immunologic skin problems

Contraindications: Hypersensitivity, Untreated bacterial or viral infections (this is a corticosteroid, so it may weaken defenses)

Side Effects: Dryness, irritation, burning

Adverse Reactions: Edema, Secondary infection

Nursing Considerations: Assess skin before and daily throughout therapy, Note degree of inflammation and itching

Patient Teachings: Take exactly as directed, Inform proper administration technique, Inform HCP if symptoms do not resolve or if they get worse

Question 3

Diphenhydramine (PO)

Answer 3

Indication: Relief of allergic symptoms, Mild sedation, Prevention of motion sickness

Contraindications: Hypersensitivity, Acute asthma attacks, Known alcohol intolerance

Side Effects: drowsiness, dizziness, dry mouth

Adverse Reactions: Tinnitus, blurred vision

Nursing Considerations: There are multiple uses for this drug, so it’s important to know the reason it was ordered when assessing symptoms.

• Anaphylaxis: assess for hives and airway
• Insomnia: assess sleep patterns
• Motion sickness: assess for nausea, vomiting

Patient Teachings: Take exactly as prescribed. May cause drowsiness so avoid driving. May cause dry mouth - keep up with oral rinses. Teach sleep hygiene, dark quiet room and limit daytime naps.