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47 Cards in this Set
- Front
- Back
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t/f
loratadine is the most effective for nose sx |
f
INS: intranasal steroids |
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----- weaker than cetirizine, but has no drowsiness
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loratadine
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loratadine weaker than -----, but has no drowsiness
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cetirizine
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decongestants have a strong/poor therapeutic ration
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poor
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which is more effective sudafed pe or sudafed
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sudafed
pe is ineffective |
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name the clinical pattern:
the pt has no symptoms as long as they are not close to the trigger |
intermittent
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name the clinical pattern:
the patient is symptomatic all the time |
perennial
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name the cilinical pattern:
the patient has symptoms during certain seasons |
seasonal
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t/f
you treat seasonal all year round |
f
you treat perennial all year round |
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you treat seasonal during the season and w/ --- therapy
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maintenence
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when is intermittent treated
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after symptoms or before exposure
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H1 histamine is found in the
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nasal mucosa
eyes |
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s/s of H1 activation
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sneezing
itchy runny nose red, watery eyes |
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t/f sinusitus occurs w/ cleary watery runny nose
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f
sinsusitus does not have clear, watery nose |
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nasal stuffiness, sneezing and rhinorrhea are caused by which mediators
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leukotrienes
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t/f antileukotrienes meds affect eye symptoms
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f
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the weakest antihistamine w/ the least suppression and the shortest duration of action
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diphenhydramine
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why give hydroxyzine instead of xyzol?
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it's cheaper
hydroxyzine converts to cetirizine which converts to xyzol in the body |
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during the intradermal skin test the wheel is red and enlarged, but the pt shows not symptoms. is the pt allergic to that allergen
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no
they must show symptoms to be allergic. they do have a higher inclination to have that allergy though |
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which has longer effects: cetrizine or loratadine?
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cetrizine
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why give loratadine instead of cetirzine? even though certirzine is more effective
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the less effective dose of loratidine does not cause drowsiness
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which is more effective azelastine or cetrizine?
why? |
azelastine
possibly because it's a mast cell inhibitor not because of it's intranasal route |
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how do these studies measure the efficacy of the meds in patients?
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measure nasal airflow resistance
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fexofenadine aka
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allegra
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which will cause the most drowsiness:
etoh allegra benadryl |
1. benadryl
2. etoh 3. allegra |
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allegra has a ----- dose response curve.
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flat
so, you can increase the dose and still there no effect |
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benadryl also has ----- effects
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anticholinergic effects: dry mouth, etc
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which is faster topical spray or oral syrup
which last longer |
topical works faster
oral last longer |
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t/f
it's a good idea to recommend topical decong for allergic rhinitis |
f
this causes rhinitis medicamentosa this causes more stuffiness |
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t/f
it's a good idea to recommend topical decong for the common cold |
it works best
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name two mast cell stabilizers
of the two which has a higher pt preference |
azelastine and olopatidine
olopatidine is preferred |
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although olo is preferred, what's its downfall
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bad after taste
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how is olo better than azelastine
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higher pt preference and extended use
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which is worse astelin or astepro
why |
astelin
bad after taste, burning, drowsiness |
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side effects of decongestants
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nervousness
insomnia irritability urinary retention htn |
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which is best for sneezing, blockage, runny nose, nasal itching?
fluticasone or loratadine |
fluticasone
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which is best of eye irritation
fluticasone or loratadine |
loratadine
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t/f
it's ok to combine oral and intranasal steroids |
f
may add effects systemically |
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t/f
montelukast works best by itself (without loratadine) |
f
it works best in combo w/ loratadine |
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which has the longest systemic bioavailability
fluticasone fuorate flunislolide fluticasone propionate |
flunisolide (nasarel)
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which has higher sys bioavail.
flunisolide or beconase |
flunisolide
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combination of ins and ----- good for pt
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azelastine
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which is best for eyes
levocabastine or olopatidine |
levocabastine
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which is best for contact uses
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cetirizine
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when administering nasal sprays why do the L hand to R nostril, etc
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to prevent ulceration
goes away for septum |
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why is D added to antihistamines
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no effects on stuffiness
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topical ---- not recommended for allergic rhinitis
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sudoephedrine
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