Respiratory Drugs and Medications Q 24

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Phenylephrine hydrochloride (Neo-Synephrine) is prescribed for a client with nasal congestion. The nurse who is providing teachings about the medication should include which of the following? Select all that apply.

  

     A. Avoid consuming high amounts of caffeine

     B. Use caution with clients with hypertension

     C. Report for breathing problems such as shortness of breath, and audible wheezing

     D. May take naratriptan once with headache

     E. May extend the use of nasal solution If symptoms do not improve after 3 days

    

Correct Answer: A, B, & C

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Option A: Taking large amounts of caffeine can increase restlessness, palpitations, nervousness, or other side effects of phenylephrine.

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Option B: The medication stimulates alpha1 receptors, causing an increase in blood pressure.

Option C: The medication can trigger asthma so it is important to notify the health care provider if a client has a history of asthma.

Option D: Some medications used for migraine headaches such as naratriptan may worsen the serious side effects of phenylephrine and therefore should be avoided.

Option E: Extended use of nasal spray may result in tolerance and rebound nasal congestion which is caused by irritation of the nasal mucosa. Therefore, the client should be instructed to notify the doctor if the symptoms do not improve after 3 days of treatment.

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