Fluticasone (Flonase) PDF

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Medications Worksheet Drug Generic Name & Trade Name Generic: fluticasone Trade: Flonase

Drug Action (How it works)

Classification & Uses Ther. Class: anti-inflammatories Pharm. Class: corticosteroids Use: decrease symptoms of allergic and nonallergic rhinitis Adverse Reactions

Safe Dosage Range Onset: few days Peak: up to 3 wk Duration: unkn Half-life: 7.8 hr Pt is taking one spray each nostril Side Effects

Anaphylaxis & angioedema Headache, epistaxis, nasal burning, nasal irritation, nasopharyngeal fungal infection, pharyngitis, nausea, vomiting, adrenal suppression (↑ dose, long-term therapy only), ↓ growth (children), rash, cough, urticaria

Potent, locally acting anti-inflammatory and immune modifier.

Oral Route_____ Consider below:

IV Route: _____ Consider below:

Can it be crushed? Given with food? Given with other medications?

Dilution required? Compatible with IV solution? Compatible with other meds? Push Rate? Flush needed?

Alternative Route : intranasal Patients also using a nasal decongestant should be given decongestant 5–15 min before corticosteroid nasal spray. If patient is unable to breathe freely through nasal passages, instruct patient to blow nose gently in advance of medication administration.

Nursing Implications (Pre-Administration and Follow-up: Pertinent labs, assessment and interventions) Monitor degree of nasal stuffiness, amount and color of nasal discharge, and frequency of sneezing. Patients on long-term therapy should have periodic otolaryngologic examinations to monitor nasal mucosa and passages for infection or ulceration. Monitor growth rate in children receiving chronic therapy; use lowest possible dose. Monitor for signs and symptoms of hypersensitivity reactions (rash, pruritis, swelling of face and neck, dyspnea) periodically during therapy. Shake well before use. Before first-time use, prime unit by spraying 6 times. If not used for at least 7 days or if cap left off for more than 5 days, reprime unit. Warn patient that temporary nasal stinging may occur. Lab Test Considerations: Periodic adrenal function tests may be ordered to assess degree of hypothalamic-pituitary-adrenal (HPA) axis suppression in chronic therapy. Children and patients using higher than recommended doses are at highest risk for HPA suppression. Patient/Family Teaching:  Advise patient to take medication exactly as directed. Take missed doses as soon as remembered unless almost time for next dose.  Instruct patient in correct technique for administering nasal spray. Shake well before use. Before first-time use, prime unit by spraying 6 times. If not used for at least 7 days or if cap left off for more than 5 days, reprime unit. Warn patient that temporary nasal stinging may occur.  Instruct patient to gently blow nose to clear nostrils prior to administering dose.  Instruct patient to stop fluticasone and notify health care professional immediately if signs of anaphylaxis (rash, hives, difficulty breathing, swollen lips or throat) occur.  Instruct patient to notify health care professional of all Rx or OTC medications, vitamins, or herbal products being taken and consult health care professional before taking other Rx, OTC, or herbal products.  Advise female patients to notify health care professional if pregnancy is planned or suspected or if breastfeeding.  Instruct patient to notify health care professional if symptoms do not improve within 1 mo or if symptoms worsen....