Decongestants Flashcards
1
Q
Types of decongestants
A
- adrenergic (sympathomimetics)
- anticholinergics
- corticosteroids
2
Q
Oral decongestants considerations
A
- prolonged effects
- less potent
- delayed onset
3
Q
Inhaled and topical decongestants considerations
A
- topical to nose
- rebound congestion with adrenergic decongestants w/ repeated use of nasal sprays
4
Q
Decongestants MOA
A
- shrink engorged nasal mucous membranes and relieve stuffiness
- constrict small arterioles to allow secretions to drain
- anti-inflammatory
5
Q
Adrenergic decongestant examples
A
- Ephedrine
- Naphazoline (Privine)
- Oxymetazoline
6
Q
Nasal steroids
A
- Nasacort AQ (triamcinolone acetonide)
- Flonase (fluticasone proprionate)
7
Q
Phenylephrine
A
- decongestant
- vasopressor
- increase BP
- shrink hemorrhoids
8
Q
Corticosteroids
A
- treat swelling and inflammation d/t allergies and allergic asthma
- not PRN, used for days/weeks
9
Q
Nursing Implications
Assessment
A
- may increase BP and HR
- watch for OD
10
Q
Nursing Implications
avoid in…
A
- narrow angle glaucoma
- cardiovasc dz
- hypertn
- diabetes mellitus
- prostatitis
11
Q
Nursing Implications
Education
A
- Increase fluid intake to liquify secretions
- rebound congestions
12
Q
Therepeutic effects
A
- relieves nasal congestion d/t allergies or cold
- relieves sinus congestion and pressure
