ACTUAL SCRIPT COMPLETE QUESTIONS AND
ANSWERS 100% CORRECT
◉ Antihistamine 1st gen. Answer: Chlorpheniramine
Diphenhydramine
Meclizine
Promethazine
(Chlor, Dip, Me, Pro)
◉ Antihistamine 2nd gen. Answer: Loratadine
Cetirizine
Fexofenadine
Desloratadine
(Lor, Ce, Fex, Des)
◉ Antihistamine 1st gen uses. Answer: CAUSES SEDATION!!!
works peripherally and centrally
,◉ Antihistamine 2nd gen uses. Answer: LESS SEDATING EFFECT
peripherally only
does not cross blood brain barrier
longer duration of action
◉ Antihistamine Adverse Effects. Answer: Anticholingergic (drying)
most common
CNS - mild drowsiness to deep sleep
Cardiovascular - hypotension, palipitation, syncope
◉ Antihistamine Indications. Answer: allergic reactions
rhinitis
conjunctivitis
urticaria
angioedema
◉ antihistamine contraindications. Answer: NARROW ANGLE
GLAUCOMA
renal impairment
known drug allergy
children younger than 2
, ◉ Antihistamine nursing. Answer: assess for drug allergyies
1st gen - take at bedtime to avoid sedation
no alcohol
report excessive sedation, confusion, or hypotension
◉ Intranasal Glucocorticoids/Steroids
best used for what?. Answer: allergic rhinitis
◉ Intranasal Glucocorticoids/Steroids MOA. Answer: decreases
inflammation and edema
causes few side effects
local reaction: drying of nasal mucosa; burning/itching sensation,
sore throat
◉ Intranasal Glucocorticoids/Steroids 1st gen. Answer:
Beclomethasone
Budesonide
Triacinolone
Flunisolide
(Be, Bu, Tri, Flu)