CHAPTER 30 Ch 30 cont. Add. Ch 30 Ch 30 Questions Question Ch 30

100

What is Cholinergic fibers?
FIBERS THAT INNERVATE THE SECRETORY GLANDS. When stimulated, they produce serous and mucous secretions within the nostrils

100

What is bacteria easily trapped behind obstructions in the sinuses?
Bacterial sinusitis is caused from:

100

What is rhinitus medicamentosa?
Overuse of topical decongestans may lead to this:

100

What is 45 to 60 minutes?
The timeframe before anticipated exposure to allergens an antihistamine should be taken.

100

What is Anti-histamines?
Drug of choice for the systemic treatment of allergic rhinitis and conjuctivitis. Does not stop nasal congestion and is most effective when taken on a scheduled basis during allergy season.

200

What is Rhinitis?
Imflammation of the nasal mucous membranes

200

What is otitis media?
Bacteria easily trapped behind obstructions in the ears cause:

200

What is rhinitus medicamentosa?
A secondary congestion that is thought to be caused by excessive vasoconstriction of the blood vessels and by direct irritation of the nasal membranes by this decongestants.

200

What is 1. pt. history of allergies, 2. symptoms more common during which time of yr., 3. are they triggered by exposure to household environmental factors (pets, dust, mold, food) 4. recently exposed to the common cold* 5. any patient concurrent medical problems (glaucoma, asthma, diabetes)?
Assessment questions

200

What is the most common adverse effect to antihistamines?
Sedation

300

What is the common cold?
The most common cause of acute minitis

300

What is Allergic rhinitis?
Inflammation of the nasal mucosa secondary to an allergic reaction:

300

What is a treatment strategy for rhinitus medicamentosa?
The most successful approach is to have the client clear one nostril at a time from this condition.

300

What is sympathomimetic decongestants?
Cause vasoconstriction; misuse, or excessive use of frequency of administration may cause rebound swelling of the nasal mucosa (rhinitis medicamentosa)

300

What is Cognitive function, attention, memory, psychomotor performance can be significantley impaired, and that some patients are not aware their cognitive abilities are impaired?
Additional side effects to antihistamines:

400

What is a viral infection?
The common cold is caused from this.

400

What is an antigen antibody?
After inhalation of the allergen, an ____ ______ reaction occurs causing inflammation and swelling of the nasal passages.

400

What is mild allergic rhinitis?
What can be well treated by an oral second generation anti-histamine?

400

What is the use of Alpha adrenergic agents?
Should be used with caution when taken orally in patients with hypertension, hyperthyroidism, diabetes mellitus, cardiac disease, increased introcular pressure, or prostate hyperplasia

400

What is anticholinergic adverse effects?
Antihistamines display a specific type of adverse effect.

500

What is a middle ear infection?
Otitis media

500

What is histamine?
Compound derived from an amino acid called histidine. stored in small granules in most body tissues>

500

What is Anti-histamines, or H1 receptor antagonists?
The drugs of choice in treating allergic rhinitis.

500

What is Antihistamines?
Does not prevent histamine release but prevents symptoms of an allergic reaction if the concentration of this exceeds the concentration of the histamine at the receptor site.

500

Who are patients with asthma, prostatic hyperplasia (enlargement), or glaucoma?
Individuals who should only take antihistamines under health care providers supervision.

TEST 6

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