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A patient with allergic rhinitis is taking a compound product of loratadine/pseudoephedrine ...

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A patient with allergic rhinitis is taking a compound product of loratadine/pseudoephedrine ...

A patient with allergic rhinitis is taking a compound product of loratadine/pseudoephedrine (Claritin-D) every 12 hours. The patient complains of insomnia. The nurse notes that the patient is restless and anxious.

The patient's heart rate is 90 beats per minute, and the blood pressure is 130/85 mm Hg. The nurse will contact the provider to:
a. discuss using an intranasal glucocorticoid and loratadine (Claritin).
b. report acute toxicity caused by pseudoephedrine.
c. suggest using an agent with a sympathomimetic drug only.
d. suggest using a topical decongestant to minimize systemic symptoms.

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