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.

CONTRAINDICATION/S
Hypersensitivity.
NURSING RESPONSIBILITIES
(at least 10)
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.