nebulized albuterol, diphenhydramine, corticosteroids
What are adjunctive treatment options for anaphylaxis? (3)
0.5 mg; 0.3 mg
What is the max dose of Epinephrine in adults?
What is the max dose in children?
5-15; 2
Patients can repeat the dose after ______ minutes and can administer up
to _______ doses.
remove blue cap, don't touch orange part; swing arm/push autoinjector into thigh, hold for 3 sec
EpiPen instructions? (3)
> 6 hours
How long do we monitor patients post-anaphylaxis?
children < 12, pregnant/lactating women
Who is excluded from OTC therapy? (2)
oral AH
What do we give to patients with Mild Intermittent Allergic Rhinitis?
INCS or oral AH
What do we give patients with Moderate-Severe Allergic Rhinitis or
Perennial allergies? (2)
c,f
Which are our first-line options?
a) ipratropium
b) cromolyn
c) intranasal steroids
d) decongestants
e) montelukast
f) oral antihistamines
a
Which is ONLY used for relief of rhinorrhea?
a) ipratropium
b) cromolyn
c) intranasal steroids
d) decongestants
e) montelukast
f) oral antihistamines
d
Which is ONLY for short-term use?
a) ipratropium
b) cromolyn
c) intranasal steroids
d) decongestants
e) montelukast
f) oral antihistamines
e
What do we use when patients are NOT responding to INCS/antihistamines?
a) ipratropium
b) cromolyn
c) intranasal steroids
d) decongestants
e) montelukast
f) oral antihistamines
b
What do we use when the patient is pregnant?
a) ipratropium
b) cromolyn sodium
c) intranasal steroids
d) decongestants
e) montelukast
f) oral antihistamines
nasal septum ulcers; children
Who do we avoid INCS use in? (2)
elderly, alcohol, other antihistamines (combo OTC products)
Who/What do we avoid using oral antihistamines in? (3)
phenylephrine
The FDA recently ruled that _______ is not effective as a nasal
decongestant.
hypertension (stroke risk), children < 4, patients on MAOI
Which patients do we avoid using oral decongestants in? (3)
<=3-5 days
How long can a patient take an Intranasal decongestant?
b
Which can be used as a preventative agent; 1-2 weeks before allergen exposure?
a) ipratropium
b) cromolyn
c) intranasal steroids
d) decongestants
e) montelukast
f) oral antihistamines
12 weeks before allergy season
When does sublingual therapy begin?
decongestants, antihistamines
Which medications do we NOT recommend in bacterial sinusitis? (2)
INCS; saline irrigation
Patients may receive ______ & _______ as an adjunct to antibiotics when
treating Bacterial Sinusitis.
severe infection + fever>=102.2, children in daycare, age <2 or >65, recent hospitalization/ ABs in last month, immunocompromised
What are the indications for High-dose Augmentin? (5)
5-7 days; 10-14 days
How long is Bacterial Sinusitis- AB treatment for adults?
How long for children?
rheumatic fever, abscesses
What complications can occur if Bacterial Pharyngitis is not treated? (2)
10 days for children/adults
How long is the AB-treatment duration for Bacterial Pharyngitis?
1 dose/inj ; 5
The treatment duration of Penicillin G is ________ & Azithromycin is ______
days.
azelastine, olopatadine
What are the intranasal antihistamines? (2)
azelastine, bepotastine, ketotifen
What are the ocular antihistamines? (3)
a,c
Which are available as OTC?
a) Azelastine IN
b) Bepotastine
c) Ketotifen
d) Olopatadine
e) Azelastine Ocular
beclomethasone
__________ is the ONLY INCS that requires a prescription.