Topical Nasal Steroid Decongestants

Question 1

Topical Nasal Steroid Decongestants

Drug Names

Answer 1

“one”

• beclomethasone
• fluticasone
• triamcinolone

“ide”

• budesonide
• flunisolide

Question 2

Topical Nasal Steroid Decongestants

Actions

Answer 2

Relieves inflammation

Exact mechanism of action is not known

Question 3

Topical Nasal Steroid Decongestants

Indications

Answer 3

Seasonal allergic rhinitis

Inflammation after the removal of nasal polyps

Question 4

Topical Nasal Steroid Decongestants

Pharmacokinetics

Answer 4

• Generally not absorbed systemically

- Takes 1-3 weeks to see effect/results

Question 5

Topical Nasal Steroid Decongestants

Contraindications and Cautions

Answer 5

Contraindications
-Acute infection

Cautions

• Active infection
• Avoid exposure to airborne infections

Question 6

Topical Nasal Steroid Decongestants

Adverse Effects

Answer 6

Local burning, irritation, stinging, dryness of the mucosa, and headache

Suppression of healing

Question 7

Topical Nasal Steroid Decongestants

Nursing Process: Assessment

Answer 7

History

• Allergy
• Acute infection

Physical

• Nasal mucosa lesions which can increase systemic absorption of drug
• Respiration and adventitious sounds (infections)
• Temperature (acute infection)

Question 8

Topical Nasal Steroid Decongestants

Nursing Process: Diagnoses

Answer 8

Acute pain r/t local effects of drug

Risk for injury r/t suppression of inflammatory reaction

Deficient knowledge r/t drug regimen

Question 9

Topical Nasal Steroid Decongestants

Nursing Process: Implementation

Answer 9

How to administer

Monitor for acute infection

Avoid areas where airborne infection is present

Patient education (Continue to use even if you don’t see results right away)

Question 10

Topical Nasal Steroid Decongestants

Nursing Process: Evaluation

Answer 10

Response to drug: Relief of congestion and adverse effects

Effectiveness of teaching plan

Compliance