pseudoephedrine

Question 1

what is the pharmacotherapeutics (use) of pseudoephedrine?

Answer 1

reduces the volume of nasal mucus and is recommended for the temporary relief of nasal congestion.

Question 2

what is the trade name for pseudoephedrine?

Answer 2

Sudafed

Question 3

what is the classification for pseudoephedrine?

Answer 3

adrenergic (decongestant)

Question 4

how is pseudoephedrine administered?

Answer 4

oral

Question 5

what is the onset of pseudoephedrine?

Answer 5

30 minutes

Question 6

what is the pharmcodynamics of pseudoephedrine?

Answer 6

causes vasoconstriction in the nasal mucous membranes

Question 7

what are the contraindication and precaution of pseudoephedrine?

Answer 7

caution with pregnancy and lactation

Question 8

what are the adverse effects of pseudoephedrine?

Answer 8

related directly to CNS stimulation thus resulting in tension, anxiety, restlessness, tremor, insomnia, and weakness.

Question 9

what are the drug interactions of pseudoephedrine?

Answer 9

MAOIs, guanethidine, methyodopa, or furazolidone may lead to increased HTN

Question 10

what are the health status of pseudoephedrine?

Answer 10

assess medical Hx. caution of HTN, DM, BPH

Question 11

what is the life span and gender for pseudoephedrine?

Answer 11

pregnancy category C, thus avoid during pregancy

Question 12

what are the lifestyle, diet and habits for pseudoephedrine?

Answer 12

assess use of OTC medication. may be use with antihistamines.

Question 13

what are the environment do you asses with pseudoephedrine?

Answer 13

assess environment where drug will be given. may result in rebound congestion if nasal passages become congested once drug wear off and body compensates by vasodilation of nasal arterioles.

Question 14

what are the nursing Dx of pseudoephedrine?

Answer 14

risk for injury caused by visual sensory-perceptual alterations (hallucinations) r/t to drug-induced CNS effects
- desired outcome: the patient will be protected from injury related to drug use and will demonstrate safety procedures to use if these effects occur

ineffective tissue perfusion: cerebral or cardiopulmonary r/t sympathomimetic effects
- desired outcome: the pt will be monitored and dosage adjusted to minimize potential perfusion deficits or CNS effects

Question 15

how do you maximize the therapeutic effects of pseudoephedrine?

Answer 15

encourage patient to use a humidifier, drink plenty of fluids, and avoid smoke-filled rooms

Question 16

how do you minimize the adverse effects of pseudoephedrine?

Answer 16

provide the pt with appropriate safety measures, side rails, if CNS effects are seen

Question 17

what are the patient and family education of pseudoephedrine?

Answer 17

• explain to pts that the purspose of drug is to promote breathing and relieve congestion
• caution patients to avoid using other OTC drugs since many already contain pseudoephedrine which many lead to OD
• do not take longer than 4 days. if no results, check with physician

Question 18

what are the ongoing assessment and evaluation for pseudoephedrine?

Answer 18

monitor patients receiving pseudoephedrine for rebound congestion, sedation, dizziness, weakness, tremor, and urinary retention