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25 Cards in this Set
- Front
- Back
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First generation H1 receptor antagonists |
Diphenhydramine (Benadryl)
Chlorpheniramine (ChlorTrimeton) Clemastine (Tavist) Demenhydrinate (Dramamine) Promethazine (Phenergan) |
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First generation H1 receptor antagonist Adverse Reactions |
Drowsiness, dry mouth, constipation, HA, dizziness, N/V, sedation, hypotension, respiratory depression, insomnia, nervousness, tremors, urinary retention, renal toxicity, thickening of bronchial secretions, photosensitivity, hypoglycemia |
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Second Generation H1 receptor antagonists |
cetirizine (Zyrtec) fexofenadine (allegra) loratadine (Claritin) |
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Second Generation H1 receptor anatagonists Adverse Effects |
Dry mouth, HA, N/V, dizziness, urinary retention, hypotension, insomnia, nervousness, tremors |
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H1 receptor antagonist nursing implications |
Avoid alcohol and opoids May cause insomnia Lowers seizure threshold Do not give with MAOI inhibitors Do not give to breastfeeding pts Check blood sugar |
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Antihistamines -vs- decongestants |
Antihistamines dry secrections Decongestants drain secrections
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Intranasal Corticosteroids |
Fluticasone (Flonase) Beclomethasone (Beconase AQ, Qvar) Flunisolide (Nasalide) Mometasone (Nasonex) Triaminolone acetonide (Nasacort AQ) |
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Intranasal Corticosteroids Adverse Effects |
None serious, nasal burning, sneezing, dryness |
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Intranasal Corticosteroids Nursing Implications |
Pts should avoid swallowing Pts need to continue 2-3 for best results Take before exposure to allergen |
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Nasal decongestants: Sympathomimetics |
Oxymetazoline (Afrin 12 hour, Neosynephrine 12 hour)
Pseudoephedrine (Sudafed, Actifed)
Phenylephrine (Afrin, Neosynephrine) |
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Sympathomimetic nasal decongestants adverse reactions |
Intranasal: Nasal irritation, burning, sneezing, dryness, HA, rebound congestion
PO: nervousness, insomnia, HA, dry mouth, dysrhythmia, severe vasoconstriction
Vasoconstriction = HIGH BP |
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Sympathomimetic nasal decongestants nursing implications |
Do not use for more than 3 days- rebound congestion
Use with caution in Pts with hypertension Avoid caffine No MAOIs
May decrease the action of beta-blockers |
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Anticholinergic Nasal Decongestants |
ipatropium bromide (Atrovent, Combivent) |
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Anticholinergic nasal decongestants adverse effects |
Nasal irritation, burning, sneezing, dryness, cough, HA, urinary retention |
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Antitussives -Opoids |
codeine hydrocodone with homatropine (Hycodan) |
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Opoid Antitussives Adverse Effects |
N/V, constipation, confusion, dizziness, sedation, hypotension, seizures, bradycardia, respiratory failure, fatigue, hypotension |
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Opoid Antitussives Nursing Implications |
Monitor for bronchial constriction Increase fluids |
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Non-opoid antitussives |
- Raise cough threshold
Dextromethorphan (Delsym, Robitussin)
Benzonatate (Tessalon) [numbs cough receptors in the lungs] |
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Non-opoid antitussives Adverse Reactions |
Drowsiness, constipation, HA, GI upset, CNS depression, insomnia, respiratory depression |
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Non-opiod antitussives Nursing Implications |
Contraindicated in chronic cough No alcohol or other CNS depressants DO NOT CHEW TESSALON |
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Expectorant antitussives |
guaifenesin (Mucinex, Robitussin) [reduces thickness of bronchial secretions]
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Expectorant antitussives adverse reactions |
Drowiness, HA, GI upset |
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Expectorant antitussives Nursing Implications |
Do not give to children under 2
Increase fluids |
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Mucolytic antitussives |
acetylcysteijne (Acetadote, Mucomyst) |
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Mucolytic antitussives adverse effects |
Nausea, N/V, bronchospasm [rotten egg odor] |
