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32 Cards in this Set

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  • Back
Names 3 groups of antihistamines?
systemic
ophthalmic
topical
Name 13 systemic antihistamines?
azatadine

brompheniramine
Accuhist Pediatric
Allent
Bromfed
Dallergy JR
Endafed
Histafex SR
Iofed
Lodrane 12D
Lodrane Liquid
Nalfed
Respahist
Rendec Chewable

cetirizine Zyrtec

chlorpheniramine
Aller-Chlor, Allergy, Chlo-Amine, Chlorate, Chlor-Trimeton, Chlor-Trimeton Allergy 4 Hour, Chlor-Trimeton Allergy 8 Hour, Chlor-Trimeton Allergy 12 Hour, {Chlor-Tripolon}, {Novo-Pheniram}, Pedia-Care Allergy Formula, Phenetron, Telechlor, Teldrin

cyproheptadine Periactin, PMS-Cyproheptadine

desloratidine Clarinex

dimenhydrinate {Apo-Dimenhydrinate}, Calm X, Dimetabs, Dinate, Dramamine, Dramanate, {Gravol}, Hydrate, {PMS-Dimenhydrinate}, {Traveltabs}, Triptone Caplets

diphenhydramine
{Allerdryl}, Allergy Medication, AllerMax, Banophen, Benadryl Dye-Free Alergy, Benadryl Allergy, Benadryl, Compoz Nighttime Sleep Aid, Diphen AF, Diphen Cough, Diphenhist, Dormin, Genahist, 40 Winks, Hyrexin-50, (Insomnal}, Maximum Strength Nytol, Maximum Strength Sleepinal, Midol PM, Miles Nervine, Nighttime Sleep Aid, Nytol, Scot-Tussin Allergy DM, Siladril, Silphen, Sleep-Eze 3, Sleepwell 2-night, Sominex, Snooze Fast, Sominex, Tusstat, Twilite, Unisom Nighttime Sleep-Aid

fexofenadine
Allegra

hydroxyzine
{Apo-Hydroxyzine}, Ataras, Hyzine-50, {Multipas}, {Novohydroxyzin}, Vistaril

loratadine
Alavert, Claritin, Claritin Reditabs

meclizine
Antivert, Antrizine, {Bonamine}, Bonine, Dramamine Less Drowsy Formula, Meni-D, Vergon

promethazine
Anergan, Antinaus, {Histanil}, Pentazine, Phenazine, Phencen-50, Phenergan, Phenergan Fortis, Phenergan Plain, Phenerzine, Phenoject, Pro-50, Promacot, ProMed, Promet Prorex, Prothazine, Shogan, V-Gan
Name 4 ophthalmic antihistamines?
azelastine
Astelin, Optivar

emedastine Emadine

levocabastine Livostin

olopatadine Patanol
Name 2 topical antihistamines?
diphenhydramine

doxepin
Sinequan, {Triadapin}, Zonalon
What do antihistamines relieve? (2)
1. allergies
rhinitis
urticaria
angioedema
2. adjunctive therapy in
anaphylactic reactions
Topical and ophthalmic antihistamines may ______ systemic side effects.
immunize
Which 2 antihistamines are used to treat motion sickness?
(nonallergic condition)
dimenhydrinate
meclizine
Which antihistamine is used to treat insomnia?
(nonallergic condition)
diphenhydramine
Which antihistaminen is used to treat Parkinson-like reactions?
(nonallergic condition)
diphenhydramine
Antihistamines block the effects of histamine at the ____ receptor?
H1
Antihistamines do not block which 3 things?
histamine release
antibody production
antigen-antibody reactions
Most antihistamines have anticholinergic properties and may cause what 4 conditions?
constipation
dry eyes
dry mouth
blurred vision

(may also cause sedation)
What 2 phenothiazines have strong antihistamine properties?
hydroxyzine
promethazine
Contraindications for antihistamines? (4)
hypersensitivity
narrow-angle glaucoma
premature infants
newborn infants
Which age group may be more susceptible to adverse anticholinergic effects of histamine?
elderly patients
What 7 conditions might warrant cautious use by patients?
pyloric obstruction
prostatic hypertrophy
hyperthyroidism
cardiovascular disease
severe liver disease
pregnancy
lactation
Additive sedation might occur when used with other CNS depressants which include? (4)
alcohol
antidepressants
opioid analgesics
sedative/hypnotics
Which inhibitors prolong and intensify the anticholinergic properties of antihistamines?
MAO
Assess for which 3 allergy symptoms before and periodically throughout therapy?
rhinitis
conjunctivitis
hives
Monitor which 2 vital signs before initiating and throughout IV therapy?
pulse
blood pressure
Assess lung sounds and character of _______ secretions.
bronchial
Maintain fluid intake of _____ to _____ ml/day to decrease viscosity of secretions.
1500-2000 ml/day
When administering for nausea and vomiting, assess degree of nausea and frequency and amount of ____.
emesis
Assess mental status mood, and behavior when administering for ______.
anxiety
Observe the character, location, and size of affected area when administering for ______ skin conditions.
pruritic
List 3 potential nursing diagnoses?
Airway clearance, ineffective
Injury, risk for
Knowledge deficit, related to
medication regimen
When used for prophylaxis of motion sickness, administer at what time?
30 minutes and preferably 1 to 2 hours before exposure to conditions that may precipitate motion sickness.
When administering concurrently with these 2 opioid analgesics supervise ambulation closely to prevent injury secondary to increased sedation?
hydroxyzine
promethazine
Inform patient that drowsiness may occur. Avoid ______ or other activities requiring alertness until response to drug is known.
driving
Caution patient to avoid using concurrent _____ or CNS _____.
alcohol
depressants
What 3 actions might a patient use to help relieve dryness of mouth?
good oral hygiene
frequent rinsing of mouth
with water
sugarless gum or candy
Effectiveness of therapy can be demonstrated by? (5)
decrease in allergic symptoms
prevention or decreased
severity of nausea and
vomiting
decrease in anxiety
relief of pruritis
sedation when used as a
hypnotic