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Fluticasone (Flonase) Nursing Considerations

Fluticasone (Flonase) Nursing Considerations

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Outline

Generic Name

Fluticasone

Trade Name

Flovent, Flonase

Indication

prophylactic asthma treatment

Action

locally acting anti-inflammatory

Therapeutic Class

antiasthmatics, anti-inflammatory (steroid)

Pharmacologic Class

Corticosteroids, Inhalation

Nursing Considerations

• use cautiously with untreated infections and suppressed immune function
• may cause headache, insomnia, bronchospasm, nasal congestion, adrenal suppression
• monitor patient’s respiratory status
• may lead to decreased bone density
• instruct patients using corticosteroids and bronchodilators that they need to use
bronchodilators first.
• instruct patient to stop smoking

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Transcript

Hey guys, let’s talk about fluticasone also known as Flonase or Flovent. This is an inhaled medication, as you can see here in the slide. So remember the therapeutic class is how the drug works in the body. The pharmacologic class is the chemical effect of the drug. The therapeutic class of fluticasone is an anti asmatic and an anti-inflammatory while the pharmacologic class is a corticosteroid. So fluticasone works as a locally acting anti-inflammatory in the lungs, which is why it’s used as a prophylactic asthma treatment. Fluticasone and other inhalation agents do sometimes cause side effects that can include headache, insomnia, and nasal congestion. So let’s take a look at a few nursing considerations for Fluticasone. It is important to mention that this medication may cause adrenal suppression and bronchospasms. Use caution in patients who have untreated infections and who are also immunosuppressed. Monitor the patient’s respiratory status while using fluticasone to be sure the respiratory status is not worsening. Fluticasone may cause decreased bone density, so keep that in mind. Be sure to teach your patient to stop smoking if they in fact smoke. And also if they use bronchodilators as well as corticosteroids, they need to use the bronchodilators first to open up the airways. So remember with inhaled agents like fluticasone, sometimes thrush or fungal infection can occur. So be sure to teach your patient to rinse their mouth after using fluticasone. That’s it for fluticasone or Flonase or Flovent. Now go out and be your best self today and as always happy nursing.

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My Study Plan

Concepts Covered:

Study Plan Lessons

Pharmacology Course Introduction

12 Points to Answering Pharmacology Questions

54 Common Medication Prefixes and Suffixes

Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)

Essential NCLEX Meds by Class

6 Rights of Medication Administration

Pharmacodynamics

Pharmacokinetics

The SOCK Method – Overview

The SOCK Method – S

The SOCK Method – O

The SOCK Method – C

The SOCK Method – K

Basics of Calculations

Dimensional Analysis Nursing (Dosage Calculations/Med Math)

Oral Medications

Injectable Medications

IV Infusions (Solutions)

Complex Calculations (Dosage Calculations/Med Math)

Disease Specific Medications

Antianxiety Meds

Benzodiazepines

Alprazolam (Xanax) Nursing Considerations

Lorazepam (Ativan) Nursing Considerations

Midazolam (Versed) Nursing Considerations

Diazepam (Valium) Nursing Considerations

Buspirone (Buspar) Nursing Considerations

Amiodarone (Pacerone) Nursing Considerations

Adenosine (Adenocard) Nursing Considerations

Procainamide (Pronestyl) Nursing Considerations

Clopidogrel (Plavix) Nursing Considerations

Warfarin (Coumadin) Nursing Considerations

Enoxaparin (Lovenox) Nursing Considerations

Heparin (Hep-Lock) Nursing Considerations

Alteplase (tPA, Activase) Nursing Considerations

Streptokinase (Streptase) Nursing Considerations

Carbamazepine (Tegretol) Nursing Considerations

Divalproex (Depakote) Nursing Considerations

Gabapentin (Neurontin) Nursing Considerations

Lamotrigine (Lamictal) Nursing Considerations

Levetiracetam (Keppra) Nursing Considerations

Phenytoin (Dilantin) Nursing Considerations

Antidepressants

Bupropion (Wellbutrin) Nursing Considerations

Selegiline (Eldepyrl) Nursing Considerations

Escitalopram (Lexapro) Nursing Considerations

Fluoxetine (Prozac) Nursing Considerations

Paroxetine (Paxil) Nursing Considerations

Sertraline (Zoloft) Nursing Considerations

Glipizide (Glucotrol) Nursing Considerations

Metformin (Glucophage) Nursing Considerations

Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations

Insulin – Short Acting (Regular) Nursing Considerations

Insulin – Intermediate Acting (NPH) Nursing Considerations

Insulin – Mixtures (70/30)

Insulin – Long Acting (Lantus) Nursing Considerations

Histamine 1 Receptor Blockers

Diphenhydramine (Benadryl) Nursing Considerations

Promethazine (Phenergan) Nursing Considerations

Histamine 2 Receptor Blockers

Cimetidine (Tagamet) Nursing Considerations

Famotidine (Pepcid) Nursing Considerations

Ranitidine (Zantac) Nursing Considerations

Renin Angiotensin Aldosterone System

Atenolol (Tenormin) Nursing Considerations

Metoprolol (Toprol XL) Nursing Considerations

Propranolol (Inderal) Nursing Considerations

ACE (angiotensin-converting enzyme) Inhibitors

Captopril (Capoten) Nursing Considerations

Enalapril (Vasotec) Nursing Considerations

Lisinopril (Prinivil) Nursing Considerations

Angiotensin Receptor Blockers

Losartan (Cozaar) Nursing Considerations

Calcium Channel Blockers

Amlodipine (Norvasc) Nursing Considerations

Diltiazem (Cardizem) Nursing Considerations

Nifedipine (Procardia) Nursing Considerations

Verapamil (Calan) Nursing Considerations

Cardiac Glycosides

Digoxin (Lanoxin) Nursing Considerations

Gentamicin (Garamycin) Nursing Considerations

Metronidazole (Flagyl) Nursing Considerations

Nystatin (Mycostatin) Nursing Considerations

Isoniazid (Niazid) Nursing Considerations

Rifampin (Rifadin) Nursing Considerations

Acyclovir (Zovirax) Nursing Considerations

Meropenem (Merrem) Nursing Considerations

Ciprofloxacin (Cipro) Nursing Considerations

Levofloxacin (Levaquin) Nursing Considerations

Vancomycin (Vancocin) Nursing Considerations

Clindamycin (Cleocin) Nursing Considerations

Erythromycin (Erythrocin) Nursing Considerations

Azithromycin (Zithromax) Nursing Considerations

Anti-Infective – Penicillins and Cephalosporins

Amoxicillin (Amoxil) Nursing Considerations

Ampicillin (Omnipen) Nursing Considerations

Cefaclor (Ceclor) Nursing Considerations

Cefdinir (Omnicef) Nursing Considerations

Cephalexin (Keflex) Nursing Considerations

Trimethoprim-Sulfamethoxazole (Bactrim) Nursing Considerations

Tetracycline (Panmycin) Nursing Considerations

Atypical Antipsychotics

Chlorpromazine (Thorazine) Nursing Considerations

Haloperidol (Haldol) Nursing Considerations

Quetiapine (Seroquel) Nursing Considerations

Olanzapine (Zyprexa) Nursing Considerations

Autonomic Nervous System (ANS)

Methylphenidate (Concerta) Nursing Considerations

Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)

Dobutamine (Dobutrex) Nursing Considerations

Dopamine (Inotropin) Nursing Considerations

Carbidopa-Levodopa (Sinemet) Nursing Considerations

Parasympathomimetics (Cholinergics) Nursing Considerations

Neostigmine (Prostigmin) Nursing Considerations

Parasympatholytics (Anticholinergics) Nursing Considerations

Atropine (Atropen) Nursing Considerations

Benztropine (Cogentin) Nursing Considerations

Diphenoxylate-Atropine (Lomotil) Nursing Considerations

Guaifenesin (Mucinex) Nursing Considerations

Albuterol (Ventolin) Nursing Considerations

Montelukast (Singulair) Nursing Considerations

Salmeterol (Serevent) Nursing Considerations

Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)

Furosemide (Lasix) Nursing Considerations

Hydrochlorothiazide (Hydrodiuril) Nursing Considerations

Spironolactone (Aldactone) Nursing Considerations

Mannitol (Osmitrol) Nursing Considerations

Bisacodyl (Dulcolax) Nursing Considerations

Bismuth Subsalicylate (Pepto-Bismol) Nursing Considerations

Lactulose (Generlac) Nursing Considerations

Loperamide (Imodium) Nursing Considerations

Metoclopramide (Reglan) Nursing Considerations

Ondansetron (Zofran) Nursing Considerations

Pancrelipase (Pancreaze) Nursing Considerations

Sucralfate (Carafate) Nursing Considerations

Proton Pump Inhibitors

Omeprazole (Prilosec) Nursing Considerations

Pantoprazole (Protonix) Nursing Considerations

Epoetin (Epogen) Nursing Considerations

Glucagon (GlucaGen) Nursing Considerations

Iodine Nursing Considerations

Levothyroxine (Synthroid)

Propylthiouracil (PTU) Nursing Considerations

Cyclosporine (Sandimmune) Nursing Considerations

HMG-CoA Reductase Inhibitors (Statins)

Atorvastatin (Lipitor) Nursing Considerations

Magnesium Sulfate

Magnesium Sulfate in Pregnancy

Magnesium Sulfate (MgSO4) Nursing Considerations

Calcium Acetate (PhosLo) Nursing Considerations

Calcium Carbonate (Tums) Nursing Considerations

Ferrous Sulfate (Iron) Nursing Considerations

Alendronate (Fosamax) Nursing Considerations

Mood Stabilizers

Lithium (Lithonate) Nursing Considerations

Acetaminophen (Tylenol) Nursing Considerations

Phenazopyridine (Pyridium) Nursing Considerations

ASA (Aspirin) Nursing Considerations

Celecoxib (Celebrex) Nursing Considerations

Ibuprofen (Motrin) Nursing Considerations

Indomethacin (Indocin) Nursing Considerations

Ketorolac (Toradol) Nursing Considerations

Naproxen (Aleve) Nursing Considerations

Terbutaline (Brethine) Nursing Considerations

Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations

Meds for Postpartum Hemorrhage (PPH)

Methylergonovine (Methergine) Nursing Considerations

Oxytocin (Pitocin) Nursing Considerations

Prostaglandins in Pregnancy

Rh Immune Globulin in Pregnancy

Lung Surfactant for Newborns

Eye Prophylaxis for Newborn

Phytonadione (Vitamin K) for Newborn

Hepatitis B Vaccine for Newborns

Opioid Analgesics in Pregnancy

Butorphanol (Stadol) Nursing Considerations

Codeine (Paveral) Nursing Considerations

Fentanyl (Duragesic) Nursing Considerations

Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations

Hydromorphone (Dilaudid) Nursing Considerations

Meperidine (Demerol) Nursing Considerations

Methadone (Methadose) Nursing Considerations

Morphine (MS Contin) Nursing Considerations

Nalbuphine (Nubain) Nursing Considerations

Oxycodone (OxyContin) Nursing Considerations

Sedatives-Hypnotics

Phenobarbital (Luminal) Nursing Considerations

Pentobarbital (Nembutal) Nursing Considerations

Propofol (Diprivan) Nursing Considerations

Lidocaine (Xylocaine) Nursing Considerations

Corticosteroids

Betamethasone and Dexamethasone in Pregnancy

Cortisone (Cortone) Nursing Considerations

Dexamethasone (Decadron) Nursing Considerations

Fluticasone (Flonase) Nursing Considerations

Methylprednisolone (Solu-Medrol) Nursing Considerations

Hydralazine (Apresoline) Nursing Considerations

Nitro Compounds

Nitroglycerin (Nitrostat) Nursing Considerations

Nitroprusside (Nitropress) Nursing Considerations

Epinephrine (EpiPen) Nursing Considerations

Norepinephrine (Levophed) Nursing Considerations

Vasopressin (Pitressin) Nursing Considerations