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Budesonide Use and Guidelines

Budesonide is a corticosteroid used to treat seasonal and perennial allergic rhinitis and asthma. It works by controlling protein synthesis and reducing inflammation. Key nursing responsibilities include assessing for untreated infections, monitoring vital signs, teaching proper administration techniques like priming devices, and warning of the risk of adrenal insufficiency if systemic steroids are stopped abruptly. Patients should be monitored for potential side effects involving various body systems.

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Mae Ann Bueno Castillon
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424 views3 pages

Budesonide Use and Guidelines

Budesonide is a corticosteroid used to treat seasonal and perennial allergic rhinitis and asthma. It works by controlling protein synthesis and reducing inflammation. Key nursing responsibilities include assessing for untreated infections, monitoring vital signs, teaching proper administration techniques like priming devices, and warning of the risk of adrenal insufficiency if systemic steroids are stopped abruptly. Patients should be monitored for potential side effects involving various body systems.

Uploaded by

Mae Ann Bueno Castillon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

DRUG STUDY

GENERIC NAME: Budesonide


Brand name: Inhalation: Entocort (CAN), Pulmicort Respules, Pulmicort Turbuhaler, Rhinocort Aqua, Rhinocort
Turbuhaler (CAN)
Oral: Entocort EC
Drug Classification: Corticosteroid
Pregnancy Category B, C (oral)

DOSAGE, SIDE EFFECTS and


ROUTE, INDICATION MECHANISM OF ADVERSE REACTIONS
FREQUENCY ACTION (by system)
(prescribed Management of symptoms of seasonal or Budesonide controls the
and
recommended) perennial allergic rhinitis in adults and rate of protein synthesis,
children; nonallergic perennial rhinitis in depresses the migration of
adults
polymorphonuclear
Turbuhaler: Maintenance treatment of
leukocytes, fibroblasts,
asthma as prophylactic therapy in adults and
reverses capillary
children > 6 yr and for patients requiring
corticosteroids for asthma permeability and lysosomal
Inhalation suspension: Maintenance stabilisation at the cellular
treatment and prophylaxis therapy of asthma level to prevent or control
in children 12 mo–8 yr inflammation.

NURSING RESPONSIBILITIES
CONTRAINDICATION/S (at least 10)
Hypersensitivity. Nursing considerations
Assessment
1. History: Untreated local nasal infections, nasal trauma, septal ulcers,
recent nasal surgery, lactation
2. Physical: BP, P, auscultation; R, adventitious sounds; examination of nares
Interventions
Inhalation

3. BLACK BOX WARNING: Taper systemic steroids carefully during transfer to


inhalational steroids; deaths from adrenal insufficiency have occurred.
4. Arrange for use of decongestant nose drops to facilitate penetration if
edema, excessive secretions are present.
5. Prime unit before use for Pulmicort Turbuhaler; have patient rinse mouth
after each use.
6. Use aerosol within 6 mo of opening. Shake well before each use.
7. Store Respules upright and protected from light; gently shake before use;
open envelopes should be discarded after 2 wk.
Nasal inhalation

8. Prime pump eight times before first use. If not used for 2 consecutive
days, reprime with 1 spray or until fine mist appears. If not used for more
than 14 days, rinse applicator and reprime with 2 sprays or until fine mist
appears.
Oral

9. Make sure patient does not cut, crush, or chew capsules; they must be
swallowed whole.
10. Administer the drug once each day, in the morning; do not administer
with grapefruit juice.
.
Patient’s Name / Room No.

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