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Respiratory Side Effects & Comments
Respiratory Side Effects & Comments
16
Medical
Professional
10/03/2011

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Cards

Term
Antihistamines 1st Generation -
Chlorpheniramine, Diphenhydramine, Azatadine, Tiprolidine

Side Effects?

Who should they not be used in?

Which should be administered with food?
Definition
Antihistamines 1st Generation -
Chlorpheniramine, Diphenhydramine, Azatadine, Tiprolidine

Side Effects:
Anticholinergic effects, Precipitation of narrow-angle glaucoma

Who should they not be used in:
Children <5, no data to support their use
Chlorpheniramine should be administered with food
Term
Cetirizine

Class?

Side effects?

What patients should avoid it?
Definition
Cetirizine

Class: 2nd generation antihistamine

Side effects: Somnolence, anticholinergic effects, pharyngitis

What patients should avoid it: Hydroxyzine sensitive pts.
Term
Fexofenadine

Class?

Side effects?

How should it be taken?
Definition
Fexofenadine

Class: 2nd gen antihistamine

Side effects:HA,N

How should it be taken: Without food
Term
Loratidine

Class?

Side effects?

How should it be taken?
Definition
Loratidine

Class: 2nd Gen antihistamine

Side effects: Xerostomia, wheezing

How should it be taken: Without food, affects absorption.
Term
Desloratidine

Class?

Side effects?
Definition
Desloratidine

Class: 3rd gen antihistamine

Side effects: pharyngitis, dyspepsia

Avoid in hypersensitivity to loratidine
Term
Levocabastine

What is it?

Side effect?

Important counseling points?
Definition
Levocabastine

Intranasal antihistamine

Side effect: Nasal irritation

Important counseling point: Prime before use, Discontinue use if no improvement seen in 3 days
Term
Opthalmic antihistamines - Levocabastine, Emedastine

Side effects?

How long should they be kept?

Important counseling points?
Definition
Opthalmic antihistamines - Levocabastine, Emedastine

Side effects: Transient ocular effects, eye irritation

How long should they be kept: 1 month, then discard

Important counseling points: shake well prior to use, d/c if no improvement in 3 days
Term
Systemic Decongestants - Phenylephrine & pseudoephedrine

Side effects?

Drug Contraindication?

Other contraindications?

What age group should not use ?
Definition
Systemic Decongestants - Phenylephrine & pseudoephedrine

Side effects: insomnia, tremor, irritability, tachycardia, urinary retention, palpitations

Drug Contraindication; DO NOT USE WITHIN 14 days of MAOI use

Other contraindications: HTN, CAD, prostatic hypertrophy

What age group should not use : < 5 years old
Term
Topical Decongestants: Oxymetalozine, Xylometazoline, nasal phenylephrine

Side effects?

Counseling point?

Caution in which comorbidities?
Definition
Topical Decongestants: Oxymetalozine, Xylometazoline, nasal phenylephrine

Side effects: irritation, burning, fewer AEs than oral

Counseling point: Rebound congestion may occur after 3-5 day continuous use

Caution in which comorbidities: HTN, CVD, DM, hyperthyroidism
Term
LTRAs - Montelukast, Zafirlukast

SEs?

What age group should not use?
Definition
LTRAs - Montelukast, Zafirlukast

SEs: HA, N, D

What age group should not use:
Children < 12 years
Term
Any intranasal, counseling point
Definition
Clear nasal passages before use
Term
Side effect of gensing, caution in who?
Definition
Hypoglycemia, Caution in diabetics
Term
Inhaled Corticosteroids side effect, way to combat it
Definition
Inhaled Corticosteroids side effect, way to combat it: Thrush, rinse mouth after use
Term
Dexamethasone

SE's ?

Contraindications?
Definition
Dexamethasone

SE's: Hyperglycemia, GI upset, NA retention, acne, weight gain, HTN,

Contraindications: Diabetes, HF, PUD
Term
Omalizumab

How should it be stored?
Definition
Omalizumab

How should it be stored: 2-8C, FRIDGE!
Term
Ipratropium, Short acting anticholinergic

SEs
Definition
Anticholinergic effects, urinary retention
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