59. The desired clinical outcome of pseudoephedrine (Sudafed) is:
. Termination of paroxysmal atrial tachycardia (PAT).
. Reduction of intraocular pressure.
. Relief of upper airway congestion.
. Prolongation of local anesthesia.
Test-Taking Tip
Know expected outcomes of common OTC preparations.
Content Area: Adult Health, Respiratory; Integrated Process: Nursing Process, Evaluation; Cognitive Level: Comprehension; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Expected Effects/Outcomes
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Answer 1 is incorrect because the drug increases heart rate, which would not help PAT. Phenylephrine (Sinex) is used for PAT. Answer 2 is incorrect because phenylephrine, not pseudoephedrine, reduces intraocular pressure. Answer 3 is correct because pseudoephedrine (Sudafed) is a familiar over-the-counter (OTC) allergy or cold preparation used for upper respiratory congestion. The drug has both alpha and beta effects, which also can cause hypertension, increased cardiac stimulation, increased respirations, erratic behavior, and delirium. Answer 4 is incorrect because phenylephrine, not pseudoephedrine, prolongs anesthetic effects.