Decongestants

Question 1

Types of decongestants

Answer 1

• adrenergic (sympathomimetics)
• anticholinergics
• corticosteroids

Question 2

Oral decongestants considerations

Answer 2

• prolonged effects
• less potent
• delayed onset

Question 3

Inhaled and topical decongestants considerations

Answer 3

• topical to nose
• rebound congestion with adrenergic decongestants w/ repeated use of nasal sprays

Question 4

Decongestants MOA

Answer 4

• shrink engorged nasal mucous membranes and relieve stuffiness
• constrict small arterioles to allow secretions to drain
• anti-inflammatory

Question 5

Adrenergic decongestant examples

Answer 5

• Ephedrine
• Naphazoline (Privine)
• Oxymetazoline

Question 6

Nasal steroids

Answer 6

• Nasacort AQ (triamcinolone acetonide)
• Flonase (fluticasone proprionate)

Question 7

Phenylephrine

Answer 7

• decongestant
• vasopressor
• increase BP
• shrink hemorrhoids

Question 8

Corticosteroids

Answer 8

• treat swelling and inflammation d/t allergies and allergic asthma
• not PRN, used for days/weeks

Question 9

Nursing Implications

Assessment

Answer 9

• may increase BP and HR
• watch for OD

Question 10

Nursing Implications

avoid in…

Answer 10

• narrow angle glaucoma
• cardiovasc dz
• hypertn
• diabetes mellitus
• prostatitis

Question 11

Nursing Implications

Education

Answer 11

• Increase fluid intake to liquify secretions
• rebound congestions

Question 12

Therepeutic effects

Answer 12

• relieves nasal congestion d/t allergies or cold
• relieves sinus congestion and pressure