Nasal decongestant Drugs

1. NASAL DECONGESTANTS
PREPARED BY:
USHA RANI KANDULA,
ASSISTANT PROFESSOR,
DEPARTMENT OF ADULT HEALTH NURSING,
ARSI UNIVERSITY,ASELLA,ETHIOPIA,
SOUTH EAST AFRICA.

2. NASAL DECONGESTANTS
 These drugs stimulates alpha
adrenergics receptors of respiratory
mucosa to produce vasoconstriction
that leads to shrinkage of swollen nasal
mucous membrane and reduction of
tissue hyperemia, edema and nasal
congestion leads to in airway potency
and opening of obstructed eustachian
ostia.

3. COMMONLY USED
DECONGESTANTS

4. DECONGESTANTS & DOSES
 Phenylephine : 2-3 spray or drops
in each nostril q 3-4h
 Pseudoephedrine – 60 mg 4-6h
 Ephedrine – one spray in each
nostril 3-4 h

5.  Naphazoline : 1-2 drops or spray
in each nostril bd
 Oxymetazoline : 2-3 sprays or
drops in each nostril bd

6.  Tetrahydrozoline : 2-4 drops in
each nostril q 3-4 h
 Oxylometazoline : 2-3 sprays or
drops in each nostril q 8-10 h

7. INDICATIONS

8. Indications
 Nasal and eustachian tube
congestion
 Nasal stuffiness
 Acute or chronic rhinitis
 Sinusitis, allergic conditions
 Before nasal diagnostic examination
to improve visualization.

9. CONTRAINDICATIONS

10. Contraindications
 Severe hypertension
 Coronary artery disease
 Narrow angle glaucoma
 Nasal steroids
 Pregnancy and lactation
 Use cautionly in cases of DM, BPH, etc.

11. NURSING
RESPONSIBILITIES

12. Nurses responsibilities
 Assess client for medical history of
hypertension, dysrhythmias.
 For administration of nasal drops, patient
lie down or sit with neck extension to install
the medication.
 Observe the patient for decrease nasal
congestion.

13.  Assess patient ability to breath
through nose before and after
treatment.
 Note characteristics of nasal
discharge, amount,colour and
consistency.

14. PATIENT EDUCATION

15. Patient education
 Fluid intake should be increase to
2,000-3,000ml/day to liquify the
secretions.
 Avoid exposure to crowd to minimize
the spread of disease.
 Practice good handwashing.

16. THANKING YOU