Pharmacology-respiratory-pseudoephedrine
Terms
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- Brand names for pseudoephedrine are?
-
Afrin
Drixoral Non-Drowsy Formula
Sudafed
Triaminic AM Decongestant
Formula - Therapeutic classification of pseudoephedrine are?
-
allergy
cold
cough
nasal drying agents and
decongestants -
Indication for pseudoephedrine is?
Symptomatic management of nasal congestion associated with? - acute viral upper respiratory tract infections
-
Indication for pseudoephedrine is?
Used in combination with antihistamines in the management of? - allergic conditions
-
Indication for pseudoephedrine is?
Used to open obstructed eustachian tubes in? - chronic otic inflammation or infection
-
MOA for pseudoephedrine?
Stimulates alpha- and beta-? - adrenergic receptors
-
MOA for pseudoephedrine?
Produces vasoconstriction in the? - respiratory tract mucosa (alpha-adrenergic stimulation)
-
MOA for pseudoephedrine?
Possibly causes bronchodilation which is? - beta2-adrenergic stimulation
-
Therapeutic effects of pseudoephedrine?
Reduction of what in nasal passages (3)? -
nasal congestion
hyperemia
swelling - Where should the nurse assess for congestion periodically and throughout therapy?
-
nasal
sinus
eustachian tube - Monitor pulse and blood pressure before and during therapy.
- okay
- Assess lung sounds and character of bronchial secretions. Maintain fluid intake of 1500-2000 ml/day
- to decrease viscosity of secretions
- Administer pseudoephedrine at least how many hours before bedtime to minimize insomnia
- 2 hours
- Contents of capsule can be mixed with ____ or _____ and swallowed without chewing for patients with difficulty swallowing.
- jam or jelly
- Instruct patient to take meds exactly as directed and not to take more than recommended. If dose is missed, take within ___ ____, if remembered later, omit. No double dosing
- 1 hour
- Instruct patient to notify hcp if what 6 things occur, because these symptoms may indicate overdosage.
-
nervousness
slow heart rate
fast heart rate
breathing difficulties
hallucinations
seizures - Instruct patient to contact hcp if symptoms don't improve within ___ _____ of if fever is present
- 7 days
- Effectiveness of therapy can be demonstrated by?
- decreased nasal, sinus, or eustachian tube congestion