Podcast
Questions and Answers
Why is it important to advise patients to blow their nose before using a nasal spray?
Why is it important to advise patients to blow their nose before using a nasal spray?
- To reduce the risk of a bitter taste in the mouth.
- To prevent the medication from causing nosebleeds.
- To ensure the medication has optimal contact with the nasal mucosa. (correct)
- To prime the nasal passages for better absorption of the medication.
When is it necessary to prime the pump of a nasal spray?
When is it necessary to prime the pump of a nasal spray?
- Only the first time the nasal spray is used or if it hasn't been used in a while. (correct)
- Before every use to ensure consistent dosage.
- Before use in pediatric patients.
- Only if the medication is an intranasal antihistamine.
A patient is using Astepro nasal spray and complains about a bitter taste in their mouth following administration. What instruction might prevent this?
A patient is using Astepro nasal spray and complains about a bitter taste in their mouth following administration. What instruction might prevent this?
- Tilt the head forward and look down toward the feet during administration. (correct)
- Shake the bottle vigorously before each use.
- Hold the nostril closed for 30 seconds after administering the spray.
- Tilt the head back while administering the spray.
What is the primary reason for instructing a patient to point the nasal spray nozzle away from the nasal septum?
What is the primary reason for instructing a patient to point the nasal spray nozzle away from the nasal septum?
Why should you advise a patient not to take a deep breath or snort while administering a nasal spray?
Why should you advise a patient not to take a deep breath or snort while administering a nasal spray?
What is the main reason why nasal sprays should not be shared between different individuals?
What is the main reason why nasal sprays should not be shared between different individuals?
For self-administration of nasal drops, how should an adult patient position their head?
For self-administration of nasal drops, how should an adult patient position their head?
Why is it recommended to tilt the head from side to side after instilling nasal drops?
Why is it recommended to tilt the head from side to side after instilling nasal drops?
Why might saline nasal drops be particularly beneficial for a patient experiencing nasal congestion due to dried-up mucus?
Why might saline nasal drops be particularly beneficial for a patient experiencing nasal congestion due to dried-up mucus?
After using nasal drops, a patient should be advised to:
After using nasal drops, a patient should be advised to:
What is the most important instruction to give a patient regarding nasal spray use to prevent potential cross-contamination?
What is the most important instruction to give a patient regarding nasal spray use to prevent potential cross-contamination?
A pharmacist is counseling a parent on administering nasal drops to their infant. What position is most appropriate for the infant during administration?
A pharmacist is counseling a parent on administering nasal drops to their infant. What position is most appropriate for the infant during administration?
A patient using a fluticasone nasal spray reports experiencing frequent nosebleeds. What counseling point is most relevant to address this side effect?
A patient using a fluticasone nasal spray reports experiencing frequent nosebleeds. What counseling point is most relevant to address this side effect?
What is the primary reason for cleaning the nozzle of a nasal spray or nasal drop bottle after each use?
What is the primary reason for cleaning the nozzle of a nasal spray or nasal drop bottle after each use?
When counseling a patient on using a new nasal spray, what should you emphasize regarding the timing of blowing their nose?
When counseling a patient on using a new nasal spray, what should you emphasize regarding the timing of blowing their nose?
A patient asks why nasal drops are preferred for children. What is the most accurate reason?
A patient asks why nasal drops are preferred for children. What is the most accurate reason?
How does priming a nasal spray pump help ensure proper medication delivery?
How does priming a nasal spray pump help ensure proper medication delivery?
What should a patient do if the tip of the nasal drop nozzle accidentally touches the inside of their nose during administration?
What should a patient do if the tip of the nasal drop nozzle accidentally touches the inside of their nose during administration?
Why is it important for patients to wash their hands before and after using nasal sprays or drops?
Why is it important for patients to wash their hands before and after using nasal sprays or drops?
A patient is using both a nasal spray and nasal drops. In what order should they administer the two medications?
A patient is using both a nasal spray and nasal drops. In what order should they administer the two medications?
A patient complains that their nasal spray is not providing relief. What is the most appropriate initial question to ask them?
A patient complains that their nasal spray is not providing relief. What is the most appropriate initial question to ask them?
What is a potential consequence of aggressively inserting the nasal spray nozzle too far into the nostril?
What is a potential consequence of aggressively inserting the nasal spray nozzle too far into the nostril?
Why should a patient avoid sharing their nasal spray with other members of their household, even if they disinfect the nozzle after each use?
Why should a patient avoid sharing their nasal spray with other members of their household, even if they disinfect the nozzle after each use?
A patient is using a nasal spray for allergic rhinitis and reports that it burns upon instillation. What could be a potential reason for this sensation?
A patient is using a nasal spray for allergic rhinitis and reports that it burns upon instillation. What could be a potential reason for this sensation?
A patient mentions that their doctor advised them to use nasal bulb suctioning for their child in addition to nasal drops. What is the purpose of nasal bulb suctioning in this context?
A patient mentions that their doctor advised them to use nasal bulb suctioning for their child in addition to nasal drops. What is the purpose of nasal bulb suctioning in this context?
A patient using a nasal spray for the first time reports that nothing comes out when they press the pump. What is the most likely reason for this?
A patient using a nasal spray for the first time reports that nothing comes out when they press the pump. What is the most likely reason for this?
What should be the next step after a patient instills the recommended number of nasal drops into one nostril?
What should be the next step after a patient instills the recommended number of nasal drops into one nostril?
What information should you provide to a patient regarding the storage of nasal sprays and drops?
What information should you provide to a patient regarding the storage of nasal sprays and drops?
A patient is using both a decongestant nasal spray and a corticosteroid nasal spray. Which one should they use first and why?
A patient is using both a decongestant nasal spray and a corticosteroid nasal spray. Which one should they use first and why?
Flashcards
Drug Delivery Devices
Drug Delivery Devices
Devices used to administer medications for conditions like cough, cold, and allergic rhinitis directly into the nasal passages.
Fluticasone
Fluticasone
An anti-inflammatory nasal spray that reduces nasal passage inflammation.
Pre-application Prep
Pre-application Prep
Clear nasal passages by blowing your nose to ensure the medication has optimal contact with the nasal mucosa.
Priming the Pump
Priming the Pump
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Nasal Spray Aim
Nasal Spray Aim
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Post-application Wait
Post-application Wait
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Nasal Spray Sharing
Nasal Spray Sharing
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Nasal Drops
Nasal Drops
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Nasal Drop Positioning
Nasal Drop Positioning
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Head Tilt
Head Tilt
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Study Notes
- Proper counseling on the use of drug delivery devices like nasal sprays or drops is essential for patients to get the most benefit from their medications.
Nasal Sprays
- Fluticasone is an intranasal corticosteroid used in a nasal spray.
- Before use, patients should blow their nose to clear the nasal passages, ensuring better contact between the medication and the nasal mucosa.
- Wash hands before and after use.
- Remove the cap.
- Some nasal sprays require shaking before use.
- If using the nasal spray for the first time or if it hasn't been used recently, prime the pump.
- To prime, place the thumb at the bottom of the bottle and the index and middle fingers on either side of the nozzle.
- Press down on the nozzle until a fine mist is visible, indicating the device is working.
- Hold the bottle with the index and middle fingers on either side of the nozzle.
- For some products, keep the head upright; for others like Astepro, tilt the head forward.
- Insert the nozzle into one nostril, pointing it away from the nasal septum (the cartilage separating the nares) towards the ear to avoid irritation or nosebleeds.
- Press on the side of the other nostril to close it.
- Press down on the top of the bottle to release a fine mist into the nasal passage while breathing in normally.
- Avoid taking a deep breath or snorting, as this can draw the medication into the throat and mouth.
- Repeat the steps in the other nostril.
- After use, avoid blowing the nose immediately to allow the medication to contact the nasal mucosa.
- Wipe the nozzle clean, recap, and store as directed.
- Nasal sprays should not be shared between individuals to prevent cross-contamination and the spread of germs.
Nasal Drops
- Saline products are commonly formulated as nasal drops, which work well for pediatric patients.
- Before use, clear the nasal passages if possible.
- Wash hands before and after use.
- If self-administering, tilt the head back while seated or lying down so the nostrils point towards the ceiling.
- When administering to a child, support the child in your arms and tilt their head back.
- Remove the cap.
- Instill the recommended number of drops into the nose, avoiding contact between the nozzle and the inside of the nose if possible.
- Tilt the head from side to side to ensure the liquid contacts as much of the inside of the nose as possible.
- Repeat the steps on the other nostril.
- Keep the head tilted for a few minutes after instilling the drops to prevent the medication from running out.
- As with nasal sprays, avoid blowing the nose for a few minutes after use.
- Nasal drops are effective for managing nasal congestion, especially if there’s dried-up mucus in the nose.
- Nasal drops can help in clearing nasal passages, making it easier to use nasal bulb suctioning, especially for pediatric patients.
- Clean the nozzle with a dry tissue, recap, and store as directed.
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