Question

516 UNIT XI Respiratory Drugs sal inhaler? Explain between loratadine istamines be CRITICAL THINKING CASE STUDY 3. How would you instruct GH to use a nasal inhale GH. a 35-year-old patient has allergic rhinitis. Her prescrip tions include loratadine 5 mg/day and fluticasone two nasal your answer. inhalations per dayPreviously she had taken OTC drugs and 4. What are the similarities and differences between lo asked if she should continue to take the OTC drug with her pre- and diphenhydramine? Could one of these antihistamine scriptions. She has never used a nasal inhaler before. more effective than the other? Explain your answer. 1. What additional information is needed from GH concerning 5. What could you suggest to decrease allergens such as her health problem? mites in the home? 2. What is your response to GH concerning the use of OTC drugs with her prescription drugs?

Answer 1

1, Additional information required regarding patient condition includes allergic rhinitis causes to avoid those from home, otherwise, it will trigger the symptoms. gather the information regarding patient allergens like mold, dust, animal dander at home and how often patients getting exposure to those allergens.
2, Over the counter(OTC) drugs help to treat their presenting illness without a doctors prescription. It causes many side-effects. if patients use OTC drugs along with prescription drug it causes the drug to drug interaction and increases the side-effects. It causes higher risk and adverse effects. tell the patient to use OTC drugs only with doctor permission if they need really.
3, Explain the patient before using a nasal inhaler, blow your nose and remove mucus. remove the cap of the inhaler. slightly tilt the head backward. close the nose that not receiving the drug, gently press the nasal inhaler bottle side of your affected nose and take a deep breath as soon as squeeze the bottle. wait for 10seconds in the same position.
4, similarities:
Loraditine and diphenhydramine are antihistamines used to treat allergic rhinitis.
both reduce the effects of natural chemicals histamine in the body.
Both drugs are having the same side effects like headaches, Fatigue, drowsiness, and dry mouth.
Difference:
Compared to diphenhydramine. loratadine has fewer side effects.
Diphenhydramine is a more effective drug for treating allergic rhinitis symptoms than loratadine.
Loratidine available in generic form and OTC drug
diphenhydramine is a prescription drug must take with precautions
Diphenhydramine is more effective than loratadine if we misuse this drug even it causes death.
It should be taken at bedtime to avoid motion sickness and it has more side effects than loratadine. we should consult the doctor if there are unusual symptoms that occur.
5, use allergen-proof, bed cover, pillow, etc.
Wash bed linen and covers, towels weekly
Maintain humidity below 50 percent at home
Use vacuum regularly to remove the dust
Remove books and other ornaments at the bedside to prevent dust accumulation
use dust collecting furniture instead of carpet
cover the nose while going outside
Avoid exposure to allergens
Take bath as soon coming from outside