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CETIRIZINE HCL
(seh-teer-uh-zene)
(Zyrtec)
Antihistamine
- SIDE EFFECTS:
- Drowsiness, Fatigue, Dry Mouth
- NURSING CONSIDERATIONS:
- Relief of seasonal allergic rhinitis symptoms. Relief of perennial allergic rhinitis caused by molds, animal dander, and other allergens. Avoid alcohol during cetirizine therapy.
RX: Preg Cat B
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FEXOFENADINE
(fex-oh-fi-na-deen)
(Allegra)
Antihistamine
- NURSING CONSIDERATIONS:
- Management of rhinitis, allergy symptoms, chronic idiopathic urticaria. Avoid alcohol, other CNS depressants.
- 60 mg tablet: onset within 1 hr, peak 2-3 hours, duration about 12 hours
- 180 mg tablet: duration 24 hrs
- RX: Preg Cat C
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HYDROXYZINE
(hye-drox-i-zeen)
(Atarax, Vistaril)
Antihistamine
- SIDE EFFECTS:
- Drowsiness, dry mouth
- NURSING CONSIDERATIONS:
- Treatment of puritius, pre-op anxiety, post-op anxiety, nausea and vomiting, to potentiate opioid analgesics, sedation.
PO: Onset 15-30 minutes, durations 4-6 hrs, avoid use with alcohol and other CNS depressants.
Teach pt. dizziness/drowsiness may occur; use caution in potentially hazardous activities.
RX: Preg Cat C
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LORATADINE
(lor-a-ti-deen)
(Claritin)
Antihistamine
- NURSING CONSIDERATIONS:
- Managements of seasonal rhinitis. Avoid alcohol, other CNS depressants. Take on empty stomach 1 hr before or 2 hrs after meals.
- Onset 1-3 hrs, peak 8-12 hrs, duration greater than or equal to 24 hrs.
RX/OTC: Preg Cat B
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BECLOMETHASONE
(be-kloe-meth-a-sone)
(Beclovent, Beconase)
Corticosteroid
- SIDE EFFECTS:
- Dystonia, hoarsness, Oropharyngeal fungal infections, headache, sore throat, Dyspepsia
- NURSING CONSIDERATIONS:
- Used in chronic asthma treatment, seasonal or perennial rhinitis.
- Nasal spray: onset 5-7 days (up to three weeks in some patients), Peak up to three weeks.
- Inhaler: Onset 10 minutes
- Use regular peak flow monitoring to determine respiratory status.
RX: Preg Cat C
-
FLUNISOLIDE
(floo-niss-oh-lide)
(Nasolide, Aerobid)
corticosteroid
- SIDE EFFECTS:
- Dysphonia, hoarsness,Oropharyngeal fungal infections, headache, sore throat, nasal congestion, cold symptoms, nausea, vomiting, diarrhea, unpleasant taste, upset stomach.
- NURSING CONSIDERATIONS:
- Used in chronic asthma treatment, seasonal or perennial rhinitis.
- Onset: few days
- Use regular peak flow monitoring to determine respiratory status.
- RX: Preg Cat C
-
FLUTICASONE
(floo-ti-ka-sone)
(Flonase)
Corticosteroid
- SIDE EFFECTS:
- Dysphonia, harsness, Oropharyngeal fungal infections, headaches, sore throat, nasal congestion, cold symptoms, nausea, vomiting, diarrhea, unpleasant taste, upset stomach.
- NURSING CONSIDERATIONS:
- Used in chronic asthma treatment, seasonal or perennial rhinitis.
- Nasal spray onset within 2 days, peak 1-2 weeks.
- Use regular peak flow monitoring to determine respiratory status.
- RX: Preg Cat C
-
MOMETASONE
(moe-met-a sone)
(Nasonex)
Corticosteroid
SIDE EFFECTS: Dysphonia, hoarsness oropharyngeal fungal infections, headaches sore throat, nasal congestion, cold symptoms, nausea, vomiting, diarrhea, unpleasant taste, upset stomach.
- NURSING CONSIDERATIONS:
- Used in chronic asthma treatment, seasonal or perennial rhinitis
- Nasal spray: onset few days peak up to 3 weeks.
- Use regular peak flow monitoring to determine respiratory status.
RX: Preg Cat C
-
TRIAMCINOLONE
(trye-am-sin-oh-lone)
(Nasocort Spray, Amcort)
Corticosteroid
- SIDE EFFECTS:
- Dysphonia, hoarsness, Oropharyngeal fungal infections, headache, sore throat, nasal congestion, cold symptoms, nausea, vomiting, diarrhea, unpleasant taste, upset stomach.
- NURSING CONSIDERATIONS:
- Used in chronic asthma treatment, seasonal or perennial rhinitis.
- Nasal spray: onset few days
- peak 3-4 days
- PO/IM: peak 1-2 hours
- Use regular peak flow monitoring to determine respiratory status
RX: Preg Cat C
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