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35 Cards in this Set
- Front
- Back
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what are the corticosteroids used for allergic rhinitis |
Fluticasone Nasal (Flonase) beclomethasone bedesonide ciclesonide flunisolide mometasone triamcinolone |
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what sx will you reduce by reducing inflm in allergic rhinitis |
sneezing, itching, rhinorrhea, congestion |
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how long does corticosteroids to kick in for allergic rhinitis? |
1-2wk chronic therapy |
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ADR of corticosteroids for allergic rhinitis |
rare systemic effects but reported epistaxis local effects |
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dose for corticosteroids for allergic rhinitis |
Fluticasone Nasal Spray 50 mcg/spray 2 sprays each nostril qd |
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what are the leukotriene modifiers for allergic rhinitis |
Montelukast (Singular) Zafirlukast (Actovate?) |
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MOA of leukotriene modifiers for allergic rhinitis |
inhibit leujotrienes improved rhinorrhea, sneezing, congestion |
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ADR for leukotriene modifiers for allergic rhinitis |
low rate: HA, dizziness, nasal congestion, skin rash |
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dose for leukotriene modifiers for allergic rhinitis |
Singulair 10mg T qhs |
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what is the mast cell stabilizers |
Cromolyn Nasal (NasalCrom) |
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MOA of mast cell stabilizer for allergic rhinitis |
reduce release of histamine form mast cells locally |
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ADR for mast cell stabilizer for allergic rhinitis |
nasal pruritus irritation epistaxis |
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dose for mast cell stabilizer for allergic rhinitis |
NasalCrom 5.2mg/spray 1 spray in each nostril TID-QID |
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who is the anticholinergic for allergic rhinitis |
Ipratropium Nasal (Atrovent) |
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MOA of anticholinergic for allergic rhinitis |
block PSNS nerve effect (Vivian n. is postganglionic vasomotor rhinitis |
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ADR anticholinergic for allergic rhinitis |
HA, tasts perversion, xerostomia |
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what is does anticholinergics tx? |
rhinorrhea, not pruritus or nasal congestion |
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dose for anticholinergic for allergic rhinitis |
Atrovent Nasal Spray 0.03% 2 sprays each nostril BID-TID |
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what are the antihistamines |
Loratadine (Claritin) Diphenhydramine Doxylamine Chlorpheniramine Brompheniramine Desloratidine Cetirizine Fexofenadine
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MOA of antihistamines |
blocks histamine from activating receptor (need drug BEFORE histamine attaches) |
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topical anihistamines |
decongestant effect onset is faster then nasal corticosteroidsA |
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ADR of antihistamines |
CNS- drowsiness (less in newer drugs) confusion, dry mouth |
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dose for antihistamine |
Loratadine 10mg qd |
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what is a decongestant |
Pseudoephedrine (Sudafed) Phenylephrine Oxymetazoline |
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MOA of decongestant |
vasoconstriction of blood vessels causing engorged tissue in nasal passage |
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decongestant and pregnancy |
not recommended for pregnant women or breast feeding women |
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ADR of decongestant |
cardiovascular- increases HR and BP metabolic- increases glucose and BPH CNS- seizures endocrine- thyroid messed up |
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dose for decongestant |
Sudafed 12hr 120mg BID |
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dose for decongestant nasal |
Oxymetazoline Nasal Spray 0.05% 2 sprays each nostril BID |
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what are the antitussives |
Dextromethorphan (Delsym) Benzonatate Codeine |
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MOA of antitussives |
depression of medullary cough center sigma receptor stimulation |
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ADR or antitussives |
drowsiness, dizziness, GI upset, etc.
toxic in small children |
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dose for antiussive |
Delsym XL liquid 30mg/5ml 10ml BID for cough relief
Benzonatate 100mg TID PRN of cough |
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what is different about Benzonatate |
local anesthetic |
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cold/cough for infants |
do NOT use <4 y/o (not recommended for 4-11 y/o either) |
