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

) Generic Name Trade Name Fexofenadine Allegra Peak Onset 2-3 hours Within one hour Classification Dose Route Time/frequency Antihistamines 180 mg PO Q day Duration Normal dosage range 12-24 hours 60 mg twice daily or 180 mg once daily For IV meds, compatibility with IV drips and/or solutions N/A Nursing Implications (what to focus on) Contraindications/warnings/interactions .contraindicated in hypersensitivity. Use cautiously if there is impared renal function. Common side effects No common side effects

Why is your patient getting this medication Management of chronic idiopathic urticaria 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.

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 medicine Will cause false-negative reactions on allergy skin tests; discontinue 3 days before testing Be sure to teach the patient the following about this medication h c a r e p r o f e s s i o n a l i f s y m p t o m s p e r s i s t .

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

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

Evaluation Check after giving Resolution of symptoms (urticaria)