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srohleder
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Upper Respiratory Disorders
- Allergic rhinitis "hay fever" - runny nose
- Common cold
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Lower Respiratory Disorders
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Direct Acting Cholinergics
- Increase acetylcholine release
- increased urination
- increases tearing
- increased orthostatic hypotension
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Indirect Acting Cholinergic
- Decreased acetylcholine breakdown - "cholinesterase inhibition"
- Increased muscle tone
- Increased susceptibility to fatigue
- Increased bronchial secretions - bronchspasms
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SLUDGE
- Salivation
- Lacrimation
- Urination - increased
- Diaphoresis
- GI activiity - increased
- Emesis - increased acid
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Anti-histamines
- Relieves congestion related to allergies
- blocks histamines
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1st Gen- H1 Antihistamines
- Older - More drowsiness
- Benadryl
- Phenergan
- Astelin - nasal spray
- Dramamine
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2nd Gen- H1 Antihistamines
- Newer - Less drowsiness
- Claratin
- Zyrtec
- Allegra
- Clarinex
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Decongestants
- Afrin - inhaled nasal spray
- Sudafed - oral
- Releaves vasoconstriction in nasal passages
- Less than 3 days use and be aware of possible rebound congestion
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Cough Medications
- Mucolytics/expectorants - break up airway mucous
- Adverse effects - Aspiration/bronchospasm
Mucinex- Robitussin
Antitussives - supress cough reflex by raising the cough thresholdCodine- Avoid alcohol
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Med Classes That Drease Inflammation
- Oral steroids
- Inhaled steroids
- Mast cell stabilizers
- Leukotiene modifiers
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Oral steroids
- Prednisone - Systemic side effects
- SoluMedrol
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Inhaled Steroids
- No systemic side effects - RINSE MOUTH
- Fluticasone
- Budesonide
- Beclomethasone
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Mast Cell Stabilizers
- Cromolyn sodium
- Nedocromil
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Meds That Direct Airway Dialators
- Beta-2 Agonists
- Anti-cholinergics
- Methlxanthines
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Beta-2 Adrenergic Agonists
- Albuterol
- Formoterol
- Salmeterol
- Terbutaline
- Isoproterenol
- Epinepherine
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Methylxanthines
- Theophylline - Level= 10-20mcg - watch for toxicity
- Aminophylline
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