exam 3 Flashcards
It will be consider bacterial rhino sinusitis if symptoms lasts for:
More than 10 days. antibiotics might be needed
Acute Bacterial RhinoSinisitis S/S
Facial pressure, purulent drainage, congestion
Rhinitis is
Inflammation of mucous membranes of the nose
Common pathogens for URIs
Rhinovirus (common cold, viral)
Influenza
RVS
COVID
Rhinitis s/s
headache, pressure discomfort
It can trigger cold sored (herpes simplex)
How long does rhinitis last and management
Lasts 1-2 weeks, resolves on its own
4 Types of rhinitis (name only)
-Viral
-allergic
-non allergic
-drug induced
Viral rhinitis is: and s/s
known as common cold
s/s: sneezing, rhinorrhea, HA, malaise, sore throat
Allergic rhinitis is:
IgE (hypersensitivity type 1)
s/s: rhinorrhea, itchy, watery eyes, congestion, laryngeal edema (voice box swelling)
Non allergic rhinitis what is it
-Environmental and meds trigger it
Drug induced rhinitis
-Associated with antihypertensive agents.
NSAIDS, Aspirins, statins
Antihistamine: purpose, side effect, nursing consideration
-For allergies, decreases sneezing, congestion, pruritus (itchiness)
- drowsiness, dry mouth, GI disturbance
- caution in HTN, Renal retention, asthma
What type of med is loratadine?
Antihistamine
what type of med is diphenhydramine?
antihistamine
Decongestant: purpose, nursing consideration
- decongest by vasoconstriction, decreases nasal mucosa
- avoid in HTN
- BEWARE OF RHINITIS MEDICAMENTOSA
Rhinitis medicamentosa is:
when a pt abuses decongestants for more than 3 days it causes rebound rhinitis, worsening the s/s like runny nose etc bc it goes directly on the nose mucosa
Antitussive: purpose, nursing consideration
-Suppress dry cough
- watch for drowsiness and avoid overuse
what type of med is pseudoephedrine?
decongestant
Expectorant: purpose, nursing consideration
- for productive cough, thins sputum and promote clearance
- drink plenty fluids to thin secretions
What type of med is guaifenesin?
AKA mucinex
Expectorant
RhinoSINUSITIS, acute, sub acute, chronic, recurrent times
-Acute: less 4 weeks
-Subacute 4-12 weeks
-chronic > 12 weeks
-recurent >3 times a year
what is hyposmia
decreased sense of smell, commonly seen in Chronic rhinosinusitis
What is leukotriene inhibitors (montelukast) used to treat
used to treat asthma and allergic rhinitis, by blocking the binding of leukotrienes, which are inflammatory mediators that contribute to airway inflammation/constriction
MONITOR LIVER FUNCTION IF TAKING THEM
What is ESS? Endoscopic sinus surgery
surgery to correct structural deformities/obstructions of sinuses
