السبت، 23 يونيو 2018

53-rhinitis

About
Runny nose.
Assess
Ask client about recent exposure to irritants, history of allergies and seasonal allergies ( hay fever), color of discharge, use of medications ( overuse of nasal sprays can cause rhinitis and congestion), history of illicit drug use or "snorting" of substances; history of previous illness, concurrent symptoms.
Complications
Rebound nasal congestion- results from overuse of nasal sprays.
Sinus infection; Otitis media; upper respiratory infections
Diagnosis
  • Impaired comfort related to viral illness
  • Knowledge deficit related to care of viral condition and prevention of further infections

Goals
  • The client will have a decrease in nasal secretions and congestion.
  • The client will identify ways to manage runny nose for future occurrences.

Interventions
  • Administer nasal decongestants, nasal sprays as ordered.
  • Administer medications to manage allergic symptoms as ordered.
  • Encourage client to maintain adequate fluid hydration.
  • Encourage client to wash hands frequently during acute episodes of increased nasal secretions.
  • Encourage patient to identify triggers to increased nasal secretions.
  • Teach client about medications.
  • Teach client about possible contraindications to certain over the counter remedies ( i.e. pseudoephedrine, cold medicine).
  • Teach proper waste disposal of tissues.
  • Monitor for signs/ symptoms of complications.

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