NR 511: Differential Diagnosis and Primary Care
Transcript
1. Allergic
Rhinitis Sara Martinez
NR 511: Differential Diagnosis and Primary
Care Chamberlain College of Nursing
August 2018
2. Identify the disease condition and give a brief statement of incidence and prevalence
in the U.S. Discuss the pathophysiology of the disease and typical clinical presentation
seen in patients with the condition.
*Allergic Rhinitis is the most common diseases in the US that effects adults and children
alike it is the fifth most common here in the US alone.
Alternate names such as hay fever or nasal allergies
Occurring when allergen triggers the production of the antibody immunoglobulin E
(IgE) , which binds to mast cells and basophils containing histamine is inhaled by an
individual with a sensitized immune system
Causing symptoms as sneezing, itchy and watery eyes, swelling and inflammation of the
nasal passages and an increase in mucus production. Symptoms vary in severity between
individuals
It can also be defined as inflammation of the inside lining of the nose that occurs when a
person inhales something he or she is allergic to, such as animal dander or pollen;
examples of the symptoms of AR are sneezing, stuffy nose, runny nose, post nasal drip,
and itchy nose.
3. Disease and background continued:
How is allergic rhinitis classified well IgE mediated disease by as symptoms discussed
earlier on the previous slide and also divided into classifications such as
The temporal pattern of exposure to a triggering allergen, such as a seasonal (pollens)
or perennial ( year around or episodic ( such as environmental eg, something
exposed
to when usually not around certain trigger)
Seasonal allergic rhinitis (SAR) happening at the same time each year ( spring/Summer
where pollen in the air)
, Perennial allergic rhinitis (PAR) every time in a year ( mainly caused by dust, animal
allergen, fungi, cockroaches)
Occupational allergic rhinitis related to occupation
Severity of symptoms
Frequency of symptoms
Classification of Allergic Rhinitis helps the provider in choosing the appropriate
treatment plan for the individual patient
4. Disease and background continued:
As you can see by the chart allergic rhinitis is prevalent in 10%-20% of our US
population with about 40 % are children and the mean age for this is 8-12 years of age.
30% -60% of all patients who come to the primary care setting 30%-60% 60 present
with nasal
symptoms
*Allergic rhinitis is a worldwide health problem that affects adults and children. In the
united states, allergic rhinitis is the 16th most common primary diagnosis for outpatient
office visits.
According to the National Health and Nutritional Examination Survey ( NHANES) in
(2005-2006) 7398 People ages 6 years and older were surveyed for hay fever and
current allergies along with current rhinitis and tested fir IgE specific to 19 inhalant
allergens. 1 of every 3 reported rhinitis symptoms with in the last 12 months not
associated with an upper respiratory infection. Meaning IgE- Mediated allergic rhinitis
may affect 1 in 6 persons with in the United States .
*Over an 8-year time period ending in 2002 the prevalence of Allergic Rhinitis has
increased in children ages 13 to 14 years from 13 % to 19 %
Disease and background continued:
5. Cost- it is estimated that an annual direct cost of allergic rhinitis ranges from 2 to 5
billion dollars and more than half of the cost of allergic rhinitis is most likely coming
from prescription medications
Transcript
1. Allergic
Rhinitis Sara Martinez
NR 511: Differential Diagnosis and Primary
Care Chamberlain College of Nursing
August 2018
2. Identify the disease condition and give a brief statement of incidence and prevalence
in the U.S. Discuss the pathophysiology of the disease and typical clinical presentation
seen in patients with the condition.
*Allergic Rhinitis is the most common diseases in the US that effects adults and children
alike it is the fifth most common here in the US alone.
Alternate names such as hay fever or nasal allergies
Occurring when allergen triggers the production of the antibody immunoglobulin E
(IgE) , which binds to mast cells and basophils containing histamine is inhaled by an
individual with a sensitized immune system
Causing symptoms as sneezing, itchy and watery eyes, swelling and inflammation of the
nasal passages and an increase in mucus production. Symptoms vary in severity between
individuals
It can also be defined as inflammation of the inside lining of the nose that occurs when a
person inhales something he or she is allergic to, such as animal dander or pollen;
examples of the symptoms of AR are sneezing, stuffy nose, runny nose, post nasal drip,
and itchy nose.
3. Disease and background continued:
How is allergic rhinitis classified well IgE mediated disease by as symptoms discussed
earlier on the previous slide and also divided into classifications such as
The temporal pattern of exposure to a triggering allergen, such as a seasonal (pollens)
or perennial ( year around or episodic ( such as environmental eg, something
exposed
to when usually not around certain trigger)
Seasonal allergic rhinitis (SAR) happening at the same time each year ( spring/Summer
where pollen in the air)
, Perennial allergic rhinitis (PAR) every time in a year ( mainly caused by dust, animal
allergen, fungi, cockroaches)
Occupational allergic rhinitis related to occupation
Severity of symptoms
Frequency of symptoms
Classification of Allergic Rhinitis helps the provider in choosing the appropriate
treatment plan for the individual patient
4. Disease and background continued:
As you can see by the chart allergic rhinitis is prevalent in 10%-20% of our US
population with about 40 % are children and the mean age for this is 8-12 years of age.
30% -60% of all patients who come to the primary care setting 30%-60% 60 present
with nasal
symptoms
*Allergic rhinitis is a worldwide health problem that affects adults and children. In the
united states, allergic rhinitis is the 16th most common primary diagnosis for outpatient
office visits.
According to the National Health and Nutritional Examination Survey ( NHANES) in
(2005-2006) 7398 People ages 6 years and older were surveyed for hay fever and
current allergies along with current rhinitis and tested fir IgE specific to 19 inhalant
allergens. 1 of every 3 reported rhinitis symptoms with in the last 12 months not
associated with an upper respiratory infection. Meaning IgE- Mediated allergic rhinitis
may affect 1 in 6 persons with in the United States .
*Over an 8-year time period ending in 2002 the prevalence of Allergic Rhinitis has
increased in children ages 13 to 14 years from 13 % to 19 %
Disease and background continued:
5. Cost- it is estimated that an annual direct cost of allergic rhinitis ranges from 2 to 5
billion dollars and more than half of the cost of allergic rhinitis is most likely coming
from prescription medications
