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Rx PREP-Allergy&Asthma

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munsele's version from 2016-06-28 12:20

Section 1

Question Answer
Pseudoephedrine MOAActivates alpha adrenergic receptors, resulting in epinephrine release
Type of water for neti potBoiled, distilled, bottled
First line for chronic, moderate to severe rhinitisInhaled corticosteroids
Difference between D and PE in decongestantD is Psuedoephedrine, PE for phenylephrine
FDA recommends against cough and cold prroduct 2
American Academy of pediatrics recommends against use of cough and cold productsin 6
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Section 2

Question Answer
BeclomethasoneBeconase, QAVI
BudesonideRhinocort
FluticasoneFlonase, Veramyst
MometasoneNasonex
TriamcinoloneNasacort
CetirizineZyrtec
LevicetirizineXyzal
FexofanidineAllegra
DesloratadineClarinex
AzelastineAstelin, Astepro
OxymetazolineAfrin
CromolynNasalcrom
Ipatropium BromideAtrovent
MontelukastSingulair
Sublingual ImmunotherapyOralair, Grastek, Ragwitek
DextromethorphanDelsym, DayQuil
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Section 3

Question Answer
Asthma medication sensitivitiesNSAIDs, Aspirin, non-selective BBLs
SalmeterolSerevent
Salmeterol + FluticasoneAdvair
FormoterolForadil
Formoterol + budesonideSymbicort
Formoterol + mometasoneDulera
BeclomethasoneQVAR
Asthma stepladderSABA. SABA low dose ICS, Low dose ICS + LABA or med dose ICS, Medium dose ICS + LABA, High dose ICS + LABA, High dose ICS + LABA + oral steroid
Asthma step 2 altCromolyn, LTRA(singulair), Nedocromil, Theophylline
Asthma step 3 altLow dose ICS + either LTRA, Theophylline, or Zilueton
Asthma step 4 altsame as step 3 alt with med dose ICS
Asthma step 5&6 altOmalizumab for patients who have allergies
What weight used for theophylline dosingIBW
Aminophylline to theophyllinemultiply by 0.8
Boxed warning for Xolairanaphylaxis
Nucala MOAinhibits IgE binding to the IgE receptor on mast cells and basophils
Montelukast for exercise induced bronchospasmtake 2 hours prior and lasts for 24h
SABAS for exercise induced bronchospasm5-15min before and last 2-3h
LABAs for exercise induced bronchospasmcan be used 15-30min prior. DNU if already using LABA for maintenance
When to use peak flow meterEvery morning before waking and before any asthma medication
Peak flow meters should be cleanedonce per week
Yellow zone on peak flow meter50-80%
All MDIs are susp and must be shaken exceptQVAR and Alvesco
Singulair admin instructionsQD with or without food in the evening
Singulair dosing for <6yo4mg oral granules, cannot be saved, throw away unused portion
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