NURS 1566 Clinical Form 3: Clinical Medications Worksheets(You will need to make additional copies of these forms)

Generic NameFexofenadine

Trade NameAllegra

ClassificationAntihistamines

Dose180 mg

RoutePO

Time/frequencyQ day

Peak2-3 hours

Onset

Within one hour

Duration12-24 hours

Normal dosage range60 mg twice daily or 180 mg once daily

Why is your patient getting this medicationManagement of chronic idiopathic urticaria

For IV meds, compatibility with IV drips and/or solutionsN/A

Mechanism of action and indications(Why med ordered)Antagonizes the effects of histamine at peripheral histamine-1 (H1) receptors, including pruritus and urticaria. Also has a drying effect on the nasal mucosa. Indicated to relieve symptoms of seasonal allergic rhinitis and for the management of chronic idiopathic urticaria.

Nursing Implications (what to focus on) Contraindications/warnings/interactions.contraindicated in hypersensitivity. Use cautiously if there is impared renal function.Common side effectsNo common side effects

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically)Apple, orange, and grapefruit juice decrease absorption and may decrease effectiveness

Lab value alterations caused by medicineWill cause false-negative reactions on allergy skin tests; discontinue 3 days before testing

Be sure to teach the patient the following about this medication Inform patient that drug may cause drowsiness, although it is less likely to occur than with other antihistamines. Avoid driving or other activities requiring alertness until response to drug is known.Instruct patient to contact health care professional if symptoms persist.

Nursing Process- Assessment(Pre-administration assessment)Assess symptoms of urticaria

AssessmentWhy would you hold or not give this med?If the patient was experiencing hypersensitivity

EvaluationCheck after givingResolution of symptoms (urticaria)