Upper Respiratory Flashcards
Common disorders of upper respiratory:
— allergic rhinitis
— common cold
— sinusitis
— pharyngitis
— influenza
What are the clinical manifestations of upper respiratory disorders?
— headache
— nasal/sinus congestion
— itchy, watery eyes
— sore throat
— cough (post-nasal drip)
— body aches
Med caution:
What are conditions exacerbated by sympathetic activity?
— glaucoma
— HTN
— CAD
— PAD
— diabetes
— hyperthyroidism
— enlarged prostate
Med caution:
What are conditions exacerbated by anticholinergic affects?
— constipation
— enlarged prostate
— HTN
— tachycardia
— dementia
What are antitussives, what do they do?
Block cough reflex
What do decongestants do?
Shrink mucous membranes to allow drainage; decrease production of nasal secretions
What are antihistamines?
Block action of histamine to decrease histamine affects
What are expectorants?
Increase productive cough to clear airways
What is a first generation antihistamine?
Sedation and short duration
— Diphenhydramine (Benadryl)
*high anticholinergic effects
What is a second generation antihistamine?
Non-drowsy and long duration
— loratadine (Claritin)
— fexofenadine (Allegra)
— cetirizine (Zyrtec)
What is dextromethorphan? What does it do?
What is codeine? What does it do?
What is pseudoephedrine?
What is oxymetazoline?
Fluticasone:
Diphenhydramine: Benadryl
*first generation
Loratadine: Claritin
*second generation
Guaifenesin:
The nurse is caring for a client prescribed oxymetazoline. Which assessment should the nurse perform prior to admit?
A. Lung sounds
B. BP
C. Nasal mucosa
D. LOC
C. Nasal mucosa
*topical nasal route
Indicated for nasal congestion
The nurse is caring for a client prescribed intranasal fluticasone. What should the nurse include when teaching?
Take this medication for the shortest duration to relieve symptoms
