Decongestants Flashcards
Topical Nasal Decongestants
“-zoline”
- Oxymetazoline
- Tetrahydrozoline
- Xylometazoline
Topical Nasal Decongestants: Actions
-Decrease the overproduction of secretions by causing local vasoconstriction to the upper respiratory tract (sympathomimetic)
Topical Nasal Decongestants: Indications
-Relieve the discomfort of nasal congestion
Topical Nasal Decongestants: Contraindications
-Lesion or erosion in the mucous membrane
Topical Nasal Decongestants: Caution
- Any condition that might be exacerbated by sympathetic activity
- Pregnancy/lactation
Topical Nasal Decongestants: Adverse effects
- Local stinging and burning
- Rebound congestion
- Sympathomimetic effects
Topical Nasal Decongestants: Drug-Drug interactions
- Cyclopropane or halothane
- Other sympathomimetic drugs
- Sympathetic-blocking drugs
Topical Nasal Decongestants: Assessment
- History: check for any contraindications or cautions
- Physical: VS, heart and lung sounds, nasal mucous membranes, orientation and reflexes
Topical Nasal Decongestants: Nursing diagnoses
- Acute pain
- Deficient knowledge
Topical Nasal Decongestants: Implementation
- Administer the drug properly
- Non-pharmacologic measures
- Drug not taken longer than 1 week
- Further medical eval if persistent symptoms
- Overdose prevention
- Safety measures
- Patient teaching
Topical Nasal Decongestants: Evaluation
- Patient response
- Effectiveness of teaching plan
- Effectiveness of other measures to relieve symptoms
Oral Decongestants
-Pseudoepinephrine
Oral Decongestants: Action
- Shrink the nasal mucous membrane by stimulating the alpha-adrenergic receptors in the nasal mucous membranes
- Opens nasal passages to facilitate drainage from middle ear
- Decreases nasal congestion
Oral Decongestants: Indications
-Promotion of drainage in the sinuses and improving airflow
Oral Decongestants: Contraindications
- Pregnancy/lactation
- Any condition that may be exacerbated by the SNS activity
Oral Decongestants: Adverse effects
- Rebound congestion
- Sympathetic effects
Oral Decongestants: Drug-Drug interactions
-OTC products that contain pseudoepinephrine; taking concurrently can cause serious side effects
Oral Decongestants: Assessment
- History: check for any contraindications or cautions
- Physical: VS, heart and lung sounds, urinary status, orientation and reflexes
Oral Decongestants: Nursing diagnoses
- Acute pain
- Increased cardiac output
- Disturbed sensory perception
- Deficient knowledge
Oral Decongestants: Implementation
- Drug not taken longer than 1 week
- Further medical eval for persistent symptoms
- Monitor VS to detect adverse effects
- Overdose prevention
- Safety measures
- Patient teaching
Oral Decongestants: Evaluation
- Patient response
- Effectiveness of teaching plan
- Compliance
Topical Nasal Steroid Decongestants
“-one” or “-ide”
- Beclomethasone
- Fluticasone
- Triamcinolone
- Budesonide
- Flunisolide
Topical Nasal Steroid Decongestants: Action
- Relieve inflammation
- exact MOA is unknown
Topical Nasal Steroid Decongestants: Indications
- Seasonal allergic rhinitis
- Inflammation after the removal of nasal polyps
Topical Nasal Steroid Decongestants: Contraindications
-Acute infection
Topical Nasal Steroid Decongestants: Cautions
- Active infection
- Avoid exposure to airbourne infections
- Pregnancy/lactation
Topical Nasal Steroid Decongestants: Adverse effects
- Local burning, irritation, stinging, dryness of the mucosa, and headache
- Suppression of healing can occur in a patient who has had nasal surgery or trauma
Topical Nasal Steroid Decongestants: Assessment
- History: check for contraindications
- Physical: nasal mucosa, lung sounds, temperature
Topical Nasal Steroid Decongestants: Nursing diagnosis
- Acute pain
- Risk for injury
- Deficient knowledge
Topical Nasal Steroid Decongestants: Implementation
- How to administer properly
- Generally not absorbed systemically
- Takes 1-3 weeks to see effect/results
- Monitor for acute infection
- Avoid areas where airbourne infection is present
- Patient education
Topical Nasal Steroid Decongestants: Evaluation
- Response to drug
- Effectiveness of teaching plan
- Compliance