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32 Cards in this Set
- Front
- Back
Names 3 groups of antihistamines?
|
systemic
ophthalmic topical |
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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 |
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Name 4 ophthalmic antihistamines?
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azelastine
Astelin, Optivar emedastine Emadine levocabastine Livostin olopatadine Patanol |
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Name 2 topical antihistamines?
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diphenhydramine
doxepin Sinequan, {Triadapin}, Zonalon |
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What do antihistamines relieve? (2)
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1. allergies
rhinitis urticaria angioedema 2. adjunctive therapy in anaphylactic reactions |
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Topical and ophthalmic antihistamines may ______ systemic side effects.
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immunize
|
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Which 2 antihistamines are used to treat motion sickness?
(nonallergic condition) |
dimenhydrinate
meclizine |
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Which antihistamine is used to treat insomnia?
(nonallergic condition) |
diphenhydramine
|
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Which antihistaminen is used to treat Parkinson-like reactions?
(nonallergic condition) |
diphenhydramine
|
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Antihistamines block the effects of histamine at the ____ receptor?
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H1
|
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Antihistamines do not block which 3 things?
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histamine release
antibody production antigen-antibody reactions |
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Most antihistamines have anticholinergic properties and may cause what 4 conditions?
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constipation
dry eyes dry mouth blurred vision (may also cause sedation) |
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What 2 phenothiazines have strong antihistamine properties?
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hydroxyzine
promethazine |
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Contraindications for antihistamines? (4)
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hypersensitivity
narrow-angle glaucoma premature infants newborn infants |
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Which age group may be more susceptible to adverse anticholinergic effects of histamine?
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elderly patients
|
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What 7 conditions might warrant cautious use by patients?
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pyloric obstruction
prostatic hypertrophy hyperthyroidism cardiovascular disease severe liver disease pregnancy lactation |
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Additive sedation might occur when used with other CNS depressants which include? (4)
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alcohol
antidepressants opioid analgesics sedative/hypnotics |
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Which inhibitors prolong and intensify the anticholinergic properties of antihistamines?
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MAO
|
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Assess for which 3 allergy symptoms before and periodically throughout therapy?
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rhinitis
conjunctivitis hives |
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Monitor which 2 vital signs before initiating and throughout IV therapy?
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pulse
blood pressure |
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Assess lung sounds and character of _______ secretions.
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bronchial
|
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Maintain fluid intake of _____ to _____ ml/day to decrease viscosity of secretions.
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1500-2000 ml/day
|
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When administering for nausea and vomiting, assess degree of nausea and frequency and amount of ____.
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emesis
|
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Assess mental status mood, and behavior when administering for ______.
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anxiety
|
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Observe the character, location, and size of affected area when administering for ______ skin conditions.
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pruritic
|
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List 3 potential nursing diagnoses?
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Airway clearance, ineffective
Injury, risk for Knowledge deficit, related to medication regimen |
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When used for prophylaxis of motion sickness, administer at what time?
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30 minutes and preferably 1 to 2 hours before exposure to conditions that may precipitate motion sickness.
|
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When administering concurrently with these 2 opioid analgesics supervise ambulation closely to prevent injury secondary to increased sedation?
|
hydroxyzine
promethazine |
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Inform patient that drowsiness may occur. Avoid ______ or other activities requiring alertness until response to drug is known.
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driving
|
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Caution patient to avoid using concurrent _____ or CNS _____.
|
alcohol
depressants |
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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 |
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Effectiveness of therapy can be demonstrated by? (5)
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decrease in allergic symptoms
prevention or decreased severity of nausea and vomiting decrease in anxiety relief of pruritis sedation when used as a hypnotic |