Week 3 Pharm
NGR6172 with 100%
correct answers
(latest update)
What drug is most effective in allergic rhinitis? - answer intranasal
corticosteroids
T or F: Elderly pts should not use intranasal corticosteroids - answer
False
Should you recommend intranasal corticosteroids to pregnant women? -
answer yes they can use it. it is not contraindicated. but should avoid
breastfeeding the baby
What should you monitor for in antihistamines? - answer renal function
A patient with moderate renal impairment is taking antihistamines. What
should you do with the dosing? - answer dose reduction is required
For nonallergic (vasomotor rhinitis) what drug class should you use? -
answer antihistamines, corticosteroids
What is the most known side effect in pts with nonallergic (vasomotor
rhinitis). What should you teach them? - answer tell pts to rinse their
mouth after every use because it can cause a candida infection which is
due to using inhaled or oral corticosteroids
, What does Azelastine treat? - answer Allergic rhinitis
What SE can Azelastine cause and what should you teach your patients? -
answer can cause sedation, so teach your patients to take it at night and
warn them not to drive while taking this med. It makes them sleepy. do
not operate machinery until effects known
-if pt is older it can interact with other meds and increase CNS depressant
What is the black box warning for montelukast sodium - answer give only
to pts w/ no response to other allergy treatments, increased risk of
aggression, depression, SI, sleep disturbances, AVOID IN PKU AND
PSYCHIATRIC PTS
What is a known side effect of anticholinergic drugs in older adults? -
answer urinary retention and it can worsen glaucoma
What is Cromolyn's mechanism of action? - answer - used to tx asthma &
allergic rhinitis
- not used often, used as a preventative agent
- inhibits sensitized and mast cells degranulation that occurs after
exposure to specific antigens
-inhibits release of mediators, histamines, and SRS-A from mast cells;
inhibits calcium from entering mast cell, resulting in prevention of
mediator release
easier version to understand: Cromolyn works by stopping certain cells in
your body from letting out chemicals that make you feel stuffy or itchy,
especially when you have allergies. These cells are like tiny bubble wrap,
and when they pop, they release things that make you feel bad. Cromolyn
helps keep the bubble wrap from popping, so you don't feel as sick.
A patient comes during the springtime experiencing symptoms such as
sneezing, itching, and runny nose. What meds would you give them
initially to decrease symptoms? - answer Antihistamines orally: claritine,
allegra. etc
NGR6172 with 100%
correct answers
(latest update)
What drug is most effective in allergic rhinitis? - answer intranasal
corticosteroids
T or F: Elderly pts should not use intranasal corticosteroids - answer
False
Should you recommend intranasal corticosteroids to pregnant women? -
answer yes they can use it. it is not contraindicated. but should avoid
breastfeeding the baby
What should you monitor for in antihistamines? - answer renal function
A patient with moderate renal impairment is taking antihistamines. What
should you do with the dosing? - answer dose reduction is required
For nonallergic (vasomotor rhinitis) what drug class should you use? -
answer antihistamines, corticosteroids
What is the most known side effect in pts with nonallergic (vasomotor
rhinitis). What should you teach them? - answer tell pts to rinse their
mouth after every use because it can cause a candida infection which is
due to using inhaled or oral corticosteroids
, What does Azelastine treat? - answer Allergic rhinitis
What SE can Azelastine cause and what should you teach your patients? -
answer can cause sedation, so teach your patients to take it at night and
warn them not to drive while taking this med. It makes them sleepy. do
not operate machinery until effects known
-if pt is older it can interact with other meds and increase CNS depressant
What is the black box warning for montelukast sodium - answer give only
to pts w/ no response to other allergy treatments, increased risk of
aggression, depression, SI, sleep disturbances, AVOID IN PKU AND
PSYCHIATRIC PTS
What is a known side effect of anticholinergic drugs in older adults? -
answer urinary retention and it can worsen glaucoma
What is Cromolyn's mechanism of action? - answer - used to tx asthma &
allergic rhinitis
- not used often, used as a preventative agent
- inhibits sensitized and mast cells degranulation that occurs after
exposure to specific antigens
-inhibits release of mediators, histamines, and SRS-A from mast cells;
inhibits calcium from entering mast cell, resulting in prevention of
mediator release
easier version to understand: Cromolyn works by stopping certain cells in
your body from letting out chemicals that make you feel stuffy or itchy,
especially when you have allergies. These cells are like tiny bubble wrap,
and when they pop, they release things that make you feel bad. Cromolyn
helps keep the bubble wrap from popping, so you don't feel as sick.
A patient comes during the springtime experiencing symptoms such as
sneezing, itching, and runny nose. What meds would you give them
initially to decrease symptoms? - answer Antihistamines orally: claritine,
allegra. etc
