Nasal decongestant Drugs

Nasal decongestant Drugs

1. NASAL DECONGESTANTS PREPARED BY: USHA RANI KANDULA, ASSISTANT PROFESSOR, DEPARTMENT OF ADULT HEALTH NURSING, ARSI UNIVERSITY,ASELLA,ETHIOPIA, SOUTH EAST AFRICA.

2. NASAL DECONGESTANTS These drugs stimulates alpha adrenergics receptors of respiratory mucosa to produce vasoconstriction that leads to shrinkage of swollen nasal mucous membrane and reduction of tissue hyperemia, edema and nasal congestion leads to in airway potency and opening of obstructed eustachian ostia .

3. Commonly used decongestants

4. DECONGESTANTS & DOSES Phenylephine : 2-3 spray or drops in each nostril q 3-4h Pseudoephedrine – 60 mg 4-6h Ephedrine – one spray in each nostril 3-4 h

5. Naphazoline : 1-2 drops or spray in each nostril bd Oxymetazoline : 2-3 sprays or drops in each nostril bd

6. Tetrahydrozoline : 2-4 drops in each nostril q 3-4 h Oxylometazoline : 2-3 sprays or drops in each nostril q 8-10 h

7. Indications

8. Indications Nasal and eustachian tube congestion Nasal stuffiness Acute or chronic rhinitis Sinusitis, allergic conditions Before nasal diagnostic examination to improve visualization.

9. Contraindications

10. Contraindications Severe hypertension Coronary artery disease Narrow angle glaucoma Nasal steroids Pregnancy and lactation Use cautionly in cases of DM, BPH, etc.

11. Nursing responsibilities

12. Nurses responsibilities Assess client for medical history of hypertension, dysrhythmias . For administration of nasal drops, patient lie down or sit with neck extension to install the medication. Observe the patient for decrease nasal congestion.

13. Assess patient ability to breath through nose before and after treatment. Note characteristics of nasal discharge, amount,colour and consistency.

14. Patient education

15. Patient education Fluid intake should be increase to 2,000-3,000ml/day to liquify the secretions. Avoid exposure to crowd to minimize the spread of disease. Practice good handwashing .

16. Thanking you