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25 Cards in this Set
- Front
- Back
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What happens in early phase reaction and when does it happen?
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Occurs minutes after exposure.
Release: Histamines, PG, Kinase, Lurkotrienes, Tryptase causes: Vasodilation Production of Nasal secretions Increased Vascular Premeability |
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What happens in late phase reaction and when does it happen?
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Occurs 4-8 hours after the exposure
Nasal congection |
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What classifies AR to be intermittent?
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<4 days per weeks
OR <4 consecutive weeks |
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What classifies AR to be persistent?
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>4 days per week
AND >4 weeks |
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What do you use to treat Conjuctivitis Rhinitis
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Oral or ophthlamic antihistamines
saline ocular steroids |
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Antihistamines are H1 receptor ________
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antagonists
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Negative side effect of Antihistamines
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Anticholinergic SE
dec secretions difficulty urinating, Constipation DROWSINESS |
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treatment of conjuctivitis rhinitis
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oral or ophthalmic antihistamines
saline ocular corticosteroids |
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Negative SE of Antihistamines
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Anti- Ach SE
(dec secretions, difficulyt urinating, Constipation, DROWSINESS) |
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patient counseling for antihistamines
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take 1-2 hrs before exposure
drowsiness take with food |
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Dont use these antihistamines with a patient with parkinsons
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Zyrtec
Xyzal |
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these are sympathomimetic agents
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Decongestants
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This combination works best for nasal congestion
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Oral antihistamines and Decongestants
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SE Decongestants
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Systemic:
inc BR and HR CNS Stimulation Localized: Burning Sneezing Rebound Congestion |
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These Allergy meds would not be good for Hypertensives
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Decongestants
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What are the effects of Nasal Steroids?
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dec. Inflammation
Mild Vasoconstriction Inhibition of Late phase |
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Patient Counseling for Nasal Steroids
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avoid sneezing or blowing nose for 10 minutes
takes 2-3 weeks for peak response protects against asthma exacerbations |
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This is reserved for treatment failure with other therapyies
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Anticholinergic agent
(Ipratropium Nasal Spray) |
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This is best for patients with a strong history of severe symptoms that are unsuccessfully controlled by pharmacotherapy and avoidance
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Immunotherapy
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which is the only nasal corticosteroid that is listed as Preganancy Category B?
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Budesonide
Rhinocort AQ |
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can immunotherapy be continued during pregnancy?
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yes
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which class of antihistamines is preferred in children?
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2nd generation
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Best Intranasal corticosteroids for children
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mometasone (Nasonex)
Fluticasone (Flonase) Budesonide (Rhinocort) |
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this is required with more persistent, severe symptoms of Allergic rhinitis in children
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Intranasal Corticosteroids
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This may be used in meds for SERIOUS thinorrhea
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Ipatropium
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