Mount Saint Joseph University

School of Health Sciences, Department of Nursing

514 Gardner/Clephane

MEDICATION ADMINISTRATION SHEET

Generic and Product name of the drug ____Fluticasone__________/_________Flonase____________
Classification & sub-classification (if applicable) of the drug ___Corticosteroid_____/__antiinflammatory____
Normal dose range specific for indication and patient population: Forchildren4yearsandolder:

Intranasal1spray/nostriloncedaily(totaldailydose0.1mg).Mayincreaseto2
sprays/nostriloncedaily(0.2mgtotaldailydose)ifinadequateresponse,thendecreaseto
1spray/nostriloncedailywhencontrolisachieved.
PEDS: Safe dose range calculation for your patients weight in Kg (show work)
DOSE: Forchildren4yearsandolder:

1 spray per nostril once daily.

Is the ordered dose on MAR safe for patient per dose (yes/no)?

YES

Is the ordered dose on MAR safe for patient per daily (24hr) total (yes/no)? YES

Mount Saint Joseph University

School of Health Sciences, Department of Nursing
1.

What are the patient specific indications and uses

of this medication?

514 Gardner/Clephane

FOR

INFLAMMATION OF THE SINUSES

2. What is the action of this medication in the body?

How would you evaluate its effectiveness?

ANTI-INFLAMMATORY. Nasal inhalation for

the management of the symptoms of
seasonal perennial rhinitis. Fluticasone is a
corticosteroid. Steroids can have many
different effects in the body, including antiinflammatory effects. Steroids decrease
inflammation by limiting the body's ability
to produce an immune system reaction.
3. What are the major side effects/adverse effects of
this medication?

4. What are the important nursing considerations

related to administering this medication?

5. Are there any other special considerations related

to administering this medication based on the
patient population? (i.e. if giving an IM injection to a
newborn, what size needle is needed. If giving a
medication to a pediatric patient, how will it be
given?)

Source: Wilson,

Transient nasal irritation, burning, sneezing,

epistaxis, bloody mucus, nasopharyngeal
itching, dryness, crusting, and ulceration;
headache, nausea, vomiting.

PREGNANCY CATEGORY C.

Gently blow nose to clear nostrils, shake

inhaler well before using, if two sprays in
each nostril are prescribed, direct one
spray toward upper, and the other toward
lower part of nostril, wash cap and plastic
nose piece daily with warm water, dry
thoroughly. Inhaled steroids do not provide
immediate symptomatic relief and are not
prescribed for this purpose.

B. A., Shannon, M. T., & Shields, K. M. (2015). Pearson nurses drug

guide 2015. Upper Saddle River, NJ: Pearson Education.