treatment for allergic rhinitis Flashcards
what are the drugs classes that can be used
antrihistamines, steroids, decongestants, systemic steroids
what are some of the first generation antihistamines?
diphenhydramine, chlorpheniramine, hydroxyzine,
what are side effects of the first gen antihistamines
sedation, dry mouth, dry eyes, blurred vision, urinary retention. the elderly should be monitored for these SEs
what are some of the second gen antihistamines
loratidine, desloratidine, fexofenadine, azelastine, cetirizine
why use second gen antihistamines
becasue they have a reduced SE profile.
what are the SE for corticosteroid nasal sprays
nose bleeds, perforation, irritation,
what are some of the leukotriene inhibitors
zafirlukast, montelukast, zileuton
what are the indications for leukotriene inhibitors
allergic rhinitis and maintenance therapy for asthma. they are very useful in patients with both asthma nad allergies or in those with asthma that is triggered by allergens.
what is conjunctivitis
infection of the palpebral and or bullar conjunctiva. most are caused by bacterial or viral infection, although chemicals and allergens are also causes.
what organisms are most likely to cause conjunctivitis
staph, strep, haemophilus, moraxella, pseudomonas
what is epidemic keratoconjunctivitis
this is pink eye. it is extremely contagious by contact and fomites.
what is the most common cause of epidemic keratoconjunctivitis
adenovirus
what is the most common presentation of adenovirus infection
pharyngeoconjunctival fever. fever, conjunctivitis, malaise, preauricular lymphadenopathy,
