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NAPLEX - OUR cards > Allergic Rhinitis > Flashcards

Allergic Rhinitis Flashcards

1
Q

MOA of nasal irrigation

A

rinses out allergens and mucus
increases cilliary function
reduces swelling

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2
Q

What type of water should be used with a “neti pot’?

A

boiled or distilled water

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3
Q

First line treatment for mod-severe rhinitis:

A

intranasal steroids

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4
Q

First line treatment for mild, intermittent rhinitis

A

oral antihistamines

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5
Q

Intranasal steroids that are available OTC

A

fluticasone (Flonase)
triamcinolone (Nasacort)
Budesonide (Rhinocort)

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6
Q

Qnasal

A

beclomethasone

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7
Q

Qnasal dosing

A

Adults: 2 sprays each nostril daily

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8
Q

rhinocort dosing

A

Adults: max 4 sprays per nostril daily

Kids 6+ y/o: max 2 sprays per nostril daily

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9
Q

Omnaris

Zetonna

A

Ciclesonide

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10
Q

Flonase dosing

A

Adults: 1-2 sprays each daily

4-11 y/o: 1 spray each daily
2 + y/o: 1-2 sprays each daily (Flonase Sensimist formulation)

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11
Q

Dymista

A

Fluticasone + azelastine (nasal antihistamine)

1 spray each BID (6 years and older)

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12
Q

Nasonex

A

mometasone

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13
Q

Nasonex dosing

A

2 sprays each daily

2-11 y/o: 1 spray daily

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14
Q

Nasacort dosing

A

triamcinolone

1-2 sprays daily
Age 2-5 y/o: 1 spray daily

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15
Q

intranasal steroid side effects

A

HA
dry nose
nose bleeds
unpleasant tatse

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16
Q

Intranasal steroids have a quick onset of action (t/f)

A

FALSE

Take up to 1 week for full effect

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17
Q

preferred intranasal steroid in pregnancy

A

Budesonide (Rhinocort)

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18
Q

Oral antihistamine treat most symptoms of allergic rhinitis EXCEPT

A

nasal congestion

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19
Q

Tavist

Dayhist

A

Clemastine

1st gen antihistamine

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20
Q

Benadryl dosing for adults

A

25-50 mg q4-6 hrs

max 300 mg/day

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21
Q

Benadryl dosing for kids (self-care)

A

6-11 years old:
12.5 - 25 mg q4-6h (max 150 mg/day)

not recommended for < 6 y/o (self-care)

22
Q

Arbinoxa

Karbinal ER

A

Carbinoxamine
1st-gen antihistamine

approved for ages 2 +

23
Q

Chlor-trimeton

A

Chlorpheniramine

1st gen antihistamine

24
Q

Contraindications/warnings for 1st gen antihistamines

A 
lactating women (use 2nd gen)
narrow-angle glaucoma
asthma
BPH
bladder obstruction
25
Q

Zyrtec dosing

A

cetirizine
5-10 mg daily

2-5 y/o: 2.5- 5 mg daily

26
Q

Xyzal dosing

A

Levocetirizine
5 mg HS

6-11 y/O: 2.5 mg HS
6 mons-5 yrs: 1.25 mg HS

27
Q

Allergra dosing

A

Fexofenadine
60 mg BID or 180 mg daily

2-11 y/o: 30 mg BID

28
Q

Allergra clinical pearls

A

take w/ food

do not take with fruit juices –> decr absorption

29
Q

Claritin dosing

A

loratadine
10 mg daily

2-5 y/o: 5 mg daily

30
Q

Clarinex dosing

A

Desloratadine
5 mg daily

6-11 y/o: 2.5 mg daily
1-5 y/o: 1.25 mg daily
6-11 mons: 1 mg daily

31
Q

Which 2nd gen antihistamine is NOT available in an ODT form?

A

levocetirizine

32
Q

Which 2nd gen antihistamines can possibly cause sedation?

A

Cetirizine

levocetirizine

33
Q

Astelin

Astepro

A

Azelastine

intranasal antihistamine

34
Q

Patanase

A

Olopatadine

intranasal antihistamine

35
Q

intranasal antihistamines CAN treat nasal congestion (t/f)

A

TRUE

36
Q

Contraindication/warnings for systemic decongestants

A 
use w/in 14 days of MAO inhibitors
CV disease and uncontrolled HTN
hyperthyroidism
diabetes (incr BG)
bowl obstruction
glaucoma (incr IOP)
BPH
37
Q

Phenylephrine max dose

A

given q4-6h
adults: 60 mg
6-11 yrs: 30 mg
4-5: 15 mg

38
Q

Pseudoephedrine max dose

A

Adults: 240 mg daily
6-12: 120 mg
4-5: 60 mg

39
Q

Onset of action for oral decongestants

A

15-60 mins

40
Q

Afrin

A

oxymetazoline

2-3 sprays q12h prn

41
Q

Other brands for oxymetazoline

A

Neo-synephrine nighttime 12-hr

Vicks sinex

42
Q

Neo-syndephrine 4 hours

A

Phenylephrine nasal spray

43
Q

topical decongestant side effects

A

stinging
burning
sneezing
nasal dryness

44
Q

Recommended duration of action for topical decongestants:

A

3 days of less

prevent rebound congestion

45
Q

Privine

A

Naphazoline 0.05 % nasal spray

46
Q

Tyzine

A

Tetrahydrozoline nasal spray

Rx- only

47
Q

Intranasal cromolyn info

A 
Nasalcrom
MOA: mast cell stabilizer
used for allergy tx and prophylaxis
1 spray every 6-8 hours (Not PRN)
Max effects can take up to 2-4 weeks
48
Q

Atrovent nasal spray

A

ipratropium nasal spray

used to treat rhinorrhea (runny nose)

49
Q

Singulair use in allergys

A

montelukast
similar efficacy to decongestants + antihistamines
can be used as adjunctive therapy

50
Q

Sublingual immunotherapy options:

A

Oralair (grass pollen)
Grastek (grass pollen)
Ragwitek (ragweed pollen)
Odactra (dust mites)

51
Q

What type of pseudophedrine does not need to be locked behind a counter?

A

single dose package

max of 60 mg

52
Q

Limits for sudafed sales

A

3.6 grams per day

9 grams w/in 30 days

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