Nursing - CS - Allergic Rhinitis and Treatmet - 02 1

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ALLERGIC RHINITIS AND TREATMENT

Inflammatory
What is response to allergens
Environmental
allergens trigger
Can occur
seasonally
allergic that involves
the body to or year round
rhinitis? the upper
respiratory tract
release histamine. (perennial)

Symptoms of allergic rhinitis Causes of allergic rhinitis

Itchy/watery eyes Mold spores

Stuffy or runny nose Pollen from trees, grass,


and weeds
Itchy/sore throat
Pet dander
Sneezing
Dust mites that live in carpets,
Frequent ear infections drapes, bedding, and furniture

Treatment

Antihistamines Intranasal glucocorticoids Sympathomimetic decongestants

• PO, intranasal • Intranasal • PO, intranasal


• MOA: antagonist, blocks • MOA: reduces the release • MOA: mimics SNS response,
histamine receptors from of inflammatory mediators activates alpha-1 receptors causing
responding to trigger vasoconstriction, reduces swelling
• 1st generation: diphenhydramine • 1st generation: beclomethasone, • Phenylephrine, pseudoephedrine
(causes sedation) budesonide, triamcinolone (more • Contraindicated in clients with HTN,
• 2nd generation: fexofenadine, systemic effects) cardiovascular disease
loratadine, cetirizine • 2nd generation: ciclesonide, d/t vasoconstriction
(non-sedating) fluticasone propionate • Requires ID to purchase d/t use
• Intranasal: azelastine (less system effects) in crystal methamphetamine
• More effective than antihistamines production

Clients should Immunotherapy Avoid using


Saline nasal
be educated on is a long-term intranasal sprays
irrigation may
how to reduce treatment for more than
reduce
Client exposure to option for
symptom
a few days
education triggers. How- clients with
severity in
(potential for
ever, prevention moderate to abuse). Wean to
both children
is not always severe allergic prevent rebound
and adults.
possible. rhinitis. congestion.

NOTES

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