DRUG NAME ROUT OF MECHANISM OF INDICATION CONTRAINDICATION ADVERSE REACTION/ NURSING RESPONSIBILITY

ADMINISTRATION ACTION SIDE EFFECTS

, DOSAGE AND
FREQUENCY
Generic Name: Oral inhalation Beclomethasone Indicated for oral Contraindication for Dryness and irritated nose -Check for the physician’s order.
Beclomethasone/ Adults: 40 to 320 dipropionate works inhalation use in the patient that have Allergy to and throat
Beclomethasone mcg by attenuating the maintenance corticosteroids Hoarseness -Assess the client’s health history such as
Dipropionate Children: 40-80 inflammatory treatment of asthma Not to be used as primary Coughing and sneezing an acute asthmatic attack, allergy to
mcg  responses associated as prophylactic treatment for acute asthma Headache drugs, untreated local infections, nasal
Brand Name: FREQUENCY: BID with asthma, allergic therapy in patients 5 exacerbation. Serious side effects: septal ulcers, previous nasal surgery, or
Qvar rhinitis, nasal polyps, years of age and Use cautiously in patients White patches in the trauma.
Nasal spray and corticosteroid- older.  with tuberculosis, fungal or mouth and tongue
Classification: Adults:2 sprays (80 responsive Indicated for bacterial infection, herpes, Puffy face -Perform a physical assessment, take and
Corticosteroid mcg/spray) in each dermatoses. It intranasal or nasal or systemic viral infection. Bone pain note the patient vital signs, check for the
nostril  suppresses the spray use to relieve Mental/mood changes chest radiograph before respiratory
Children: 1 spray actions of the symptoms of Vision problem inhalant therapy; examination of nares
SLOW-ACTING (40 mcg/spray) in inflammatory cells, seasonal or perennial Easy bruising/ bleeding before intranasal therapy.
each nostril such as mast cells, allergic and non- Hypersensitivity reactions
FREQUENCY: QD eosinophils, allergic rhinitis and such as rash, urticaria, -Observe the 10 rights in giving
basophils, prevent the pruritus, erythema, medications.
lymphocytes, recurrence of nasal angioedema
macrophages, and polyps following Elevated blood sugar levels -Check for any allergic effect, watch out
neutrophils. It also surgical removal. in patients taking steroids for any serious side effect and report it to
inhibits the release of for long time the physician.
inflammatory MAIN ACTION:
mediators, such as Reduce inflammation -Provide health teaching.
histamine, in directly in the Health Teaching
eicosanoids, respiratory system
leukotrienes, and -Respiratory inhalant has been prescribed
cytokines. to prevent asthmatic attacks, not for use
during an attack.

-Instruct patient to allow at least 1

minute between puffs for respiratory
inhalant; if they are also using an
inhalational bronchodilator, use it several
minutes before using the steroid aerosol.

Priority
-Instruct patient to rinse mouth after
using the respiratory inhalant aerosol.

-Use a decongestant before the

intranasal steroid, and clear the nose of
all secretions if nasal passages are
blocked, also inform them that intranasal
steroids may take several days to
produce full benefit.

-Use this product exactly as prescribed;

do not take more than prescribed, and do
not stop taking the drug without
consulting your health care provider. The
drug must not be stopped abruptly but
must be slowly tapered.

-Inform the patient that he/she may

experience these side effects: Local
irritation (use the device correctly),
headache (consult your health care
provider for treatment).

-Report sore throat or sore mouth.