The nurse is teaching a patient how to use phenylephrine HCl (Neo-Synephrine) nasal spray to treat congestion from a viral upper respiratory infection. What instruction will the nurse give the patient?
a. Stop using the medication after 3 days.
b. Spray the medication into the nose while lying supine.
c. Use frequently since systemic side effects do not occur.
d. Use the medication with any other over-the-counter medications.
ANS: A
Nurses should explain to patients that continuous use of nasal sprays containing adrenergic agonists may result in rebound nasal congestion; these sprays should not be used more than 3 days. To avoid systemic absorption, spray should be administered while the patient is in an upright position. The medication may cause systemic side effects and should not be routinely used with other OTC cold medications.
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