Allergic Rhinitis Flashcards

1
Q

What are non pharmacoligcal controls for alleries

A

avoid pollen, wash clothers, lower humidity, use HEPA fitlers , eliminate cockroaches ,exercise

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2
Q

Which antihistamines are used for symptoms of allergic rhinitis

A

H1 antihistamines

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3
Q

What are characteristics of oral 1st generation antihistamines

A

Prevent and relieve sneezing, itching, and runny nose/ sedating

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4
Q

If patient is going to get a skin test for allergies how long should they stop taking first generation antihistamines

A

4 to 5 days prior

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5
Q

T/F: Antihistamines are effective in reducing nasal congestion

A

False: Antihistamines do not effect any type ofcongestion

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6
Q

What are the alkylamines antihistamines

A

Brompheniramine, Chlorpheniramine, Dexbrompheniramine

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7
Q

What are the Ethanolamine antihistamines

A

Clemastine and Diphenhydramine

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8
Q

T/F: The alkylamines are less sedating than the ethanolamines

A

True

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9
Q

What are counseling points for taking these medications

A

Patients should not also drink alcohol, do not use additional sedatives, do not use while driving

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10
Q

What are characteristics of 2nd generation antihistamines

A

have less sedation, usually in combonation with pseudoephedrine

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11
Q

What is the brand name for loratidine, dose for adults

A

Claritin, 10 mg

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12
Q

What is a common side effect of 2nd generation antihistamines

A

dry mouth

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13
Q

What is the brand name of cetrizine, dose for adults

A

Zyterc, 10 mg daily

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14
Q

What is the brand name of levocetirizine, dose for adults

A

xyzal, 5 mg daily

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15
Q

What is the brand name for fexofenadine, dose for adults

A

allergra, 60 mg twice daily

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16
Q

Which 2nd generation antihistamine is prescription

A

Desloratadine

17
Q

Which 2nd generation antihistamines are for only seasonal rhinitis

A

Loratidine, fexofenadine

18
Q

Which 2nd generation antihistamines are for both seasonal and perennial rhinitis

A

cetrizine, leveocetirizine, desoloratadine

19
Q

T/F: Pregnant women should avoid antihistamines in the third trimester and during lactation

A

True

20
Q

What are the intranasal antihistamines

A

Azelastine, olopatadine

21
Q

What are the intranal adeverse effects on decongestants

A

nasal irritation, dryness, sneezing, rhinitis medcamentosa

22
Q

What are the oral adverse effects on decongestants

A

increase blood pressure and heart rate, increase inner occular pressure,

23
Q

What are the oral decongestants

A

phenylephrine and pseudophedrine

24
Q

What are the intranasal decongestants

A

naphazoline, oxymetazoline, tetrahydrozolone, xylometazoline, phenylephrine

25
Q

What guidelines patients must follow due to the methamphetamin control act

A

Purchaser must be 18, show an ID and sign a log book,

26
Q

What anticholinergic is used for season rhinitis

A

Ipratropium

27
Q

T/F: Corticosteroids are good for preventing symptoms if taken early enough, they can relieve but a full responce usually occurs after 2 weeks

A

True

28
Q

Which of the 2nd generation antihistamines are more likely to cause drowsines

A

Cetrizine