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