Question

An infant has allergies and often develops a pruritic rash when exposed to allergens. The infant's parents ask the nurse about using a topical antihistamine. What should the nurse tell them?

1) Antihistamines given by this route are not absorbed as well in children.
2) Applying an antihistamine to the skin can cause toxicity in this age group.
3) The child will also need oral medication to achieve effective results.
4) Topical medications have fewer side effects than those given by other routes.

Answer 1

The nurse should inform the parents that applying an antihistamine to the skin can cause toxicity in infants and that oral medication is recommended for effective results. Topical medications do have potential side effects, although they usually have fewer compared to oral medications.

Step-by-step explanation:

The nurse should tell the parents that applying an antihistamine to the skin can cause toxicity in this age group. While topical antihistamines are generally safe and effective for adults, they can be absorbed more readily in infants, potentially leading to systemic effects and toxicity. It is recommended for infants with allergies to use oral medications to achieve effective results, as they are better absorbed and have a more predictable dosage.

Additionally, the nurse should inform the parents that topical medications have potential side effects. Although they usually have fewer side effects compared to oral medications, there is still a risk of local skin reactions and irritation. The nurse can recommend consulting a pediatrician or allergist for appropriate treatment options for the infant's allergies.