upper respiratory drugs

  1. intranasal glucocorticoids
    mech of action
    adverse effects
    • flonase
    • decreases inflammation in nasal passages reducing stuffiness
    • used for allergic rhinintis
    • adverse reaction: nasal irritation, epistaxis
  2. who should not use intranasal glucocorticoids
    worsens asthma and can lead to respiratory failure
  3. patient teaching on flonase
    • more effective if taken 2-3 weeks before seasons begin, know when their seasons begin.
    • these are preventer drugs
    • -report respiratory distress
    • -wash nose piece with water after each use
    • -return demonstration of technique
  4. other types of intranasal glucocorticoids
    • beconase
    • vanconase
    • rhinocort
    • nasalike
    • nasonex
    • nasacort
  5. flonase assessment
    • old carts
    • health history
    • allergies
    • current meds
    • allergy history
    • vital signs
  6. flonase interventions
    • monitor respiratory
    • signs of infection
    • irritation
    • bleeding
  7. alternative to flonase
    nasocrom its a mast cell stabilizer- stops mast cells from releasing histamine
  8. intranasal decongest
    mech of action
    adverse effects
    • Afrin
    • mech of action- causes arterioles in nose to constrict and dries membranes
    • adverse effects- minor stinging and dryness in nose
  9. patient teaching AFrin
    • do not use more than 3-5 days due to rebound congestion
    • take a break of two to three weeks in between
  10. afrin assessment
    • health history
    • old carts
    • allergy history
    • past surgeries especially nasal
  11. afrin interventions
    • pupil size- for constriction
    • respiratory status- depression
    • diabetics- can raise blood sugar
    • compliance- rebound congestion
    • caution in patients with hyperthyroidism
  12. other names for afrin
    • oxymetazoline
    • afrin 12 hour
    • neo synephrine 12 hour
  13. who should avoid oral decongestants
    • patients with cardiac and HTN issues
    • increased HR, Resp, BP
  14. expectorants
    • make secretions thinner thus easier to remove,
    • acytocystine used in tylenol overdose
  15. mucolytics
    break down mucus molecule
  16. antitussives
    mech of action
    adverse effects
    • benylin (dextromethorphan)
    • mech of action- in medulla to inhibit cough
    • use- in most OTC cold and flu meds
    • adverse effects dizziness, drowsiness, GI upset
  17. opoid antitussives
    contain codeine
  18. when may the doctor want to suppress the cough reflex
    • if patient had eye or ear surgery
    • if cough is productive- may suppress only at nite so pt can sleep
    • if cough is dry and non productive
    • drug may worsen asthma attacks
  19. what is the main thing you need to monitor for in anticholergic drugs (atrovent, comnivent)
    • monitor vision changes
    • use caution in patients with narrow angle glaucoma
  20. what are other things to monitor with these drugs
    • LOC becasue they can lower seizure threshold
    • Renal toxicity- these drugs should be used cautiously in patients with kidney and urinary problems
    • some of these can raise blood sugar
    • GI- N/V, buring
    • thyroid function in patients with hyperthyroid
  21. what are the drugs for upper respiratory
    • intranasal glucocorticoids- flonase
    • mast cell stabilizers- comomlyn
    • decongestants- afrin
    • nasal decongestants anticholinergic- atrovent and combivent
    • expectorants- acetocystine
    • mucolytics
    • antihistimines- benedryl 1st gen, allegra 2nd generation
    • opoids cough meds containing codeine
Card Set
upper respiratory drugs
upper respiratory