Mosby's 2014 Nursing Drug Reference (109 page)

• Adult and child >2 yr:
NASAL SOL
1 spray in each nostril tid-qid, max 6 doses/day

• Adult and child >5 yr:
INH
2 metered sprays inhaled ≤1 hr prior to exercise

• Adult and child >5 yr:
INH
2 metered sprays using inhaler qid;
NEB
20 mg qid by nebulization

• Adult and child >12 yr:
PO
200 mg qid 1/2 hr before meals and at bedtime

• Child 2-12 yr:
PO
100 mg qid 1/2 before meals and at bedtime

• Adult:
PO
(Gastrocrom) 200 mg qid 20 min before meals and at bedtime, may double dose after 2 wk

• Child 2-14 yr:
PO
(Gastrocrom) 100 mg qid 20 min before meals and at bedtime, may double dose after 2-3 wk

• 
For oral conc: break open ampule, squeeze contents into glass of water, stir, drink

• 
Eosinophil count during treatment

• 
Respiratory status: rate, rhythm, characteristics, cough, wheezing, dyspnea

• 
Gargle, sip of water to decrease irritation in throat (INH/Neb)

• 
Therapeutic response: decrease in asthmatic symptoms; congested, runny nose

Nasal sol:
Blow nose, hold pump between fingers; if 1st use, spray in air until fine mist occurs, insert nozzle in nostril, spray and breathe in through nose, repeat in other nostril

Aerosol (not for acute asthma):
Take cover off mouthpiece, shake gently, breathe out slowly, place mouthpiece in mouth, close mouth around it, tilt head back, breathe in as the inhaler is depressed, remove, hold breath, then breathe out slowly

Inhalation:
Do not swallow sol, empty ampule into power-driven nebulizer as directed; do not combine different meds

Oral:
Take 1/2 hr before meals and at bedtime

• Adult:
TOP
After routine bath, apply over the entire body from the chin to the soles; do not apply to the face or head; repeat in 24 hr. Patient may take a cleansing bath 48 hr after the second dose

• Adult:
TOP
Apply topically by massaging gently into affected area until medication is completely absorbed; repeat if needed

• 
The cream and lotion are for topical use only to the skin; shake lotion well before use; do not apply in the eyes or mouth; do not apply to raw, weeping, or inflamed skin until acute inflammation has subsided

Scabies:
After taking a bath or shower, apply by massaging into the skin from the chin to the toes, including folds and creases; ensure use under fingernails (they should be trimmed short), because scabies are likely to remain under nails; a toothbrush may be used to apply under fingernails; if a toothbrush is used to apply, wrap it in paper and discard immediately after use; accidental use of the same toothbrush in the mouth could cause poisoning; a second application 24 hr later is recommended; a 60-g tube of cream or bottle of lotion is sufficient for 2 applications for most patients; clothing and bed linen should be changed the next morning. Contaminated clothing and bed linen may be washed in the hot cycle of the washing machine or dry cleaned; a cleansing bath should be taken 48 hours after the last application

Pruritus:
Massage cream or lotion into affected areas until the medication is absorbed; repeat as needed

Scabies/Lice:
Area of infestation, irritation, scales; itching, raw, peeling, in
flamed skin; contamination of other family members

• 
Decreasing infestation, itching

• 
To stop using if irritation, rash occurs, wash off completely; not to use on raw, inflamed skin

• 
How to use (see dosage and routes)