click below
click below
Normal Size Small Size show me how
Bluecliff/Shana/16
What we highlighted for Unit 16 / princ. of pharmacology
| Question | Answer |
|---|---|
| Allergic individuals have an inherited defect in their immune system and likely suffer : | abnormality of a Y shaped blood molecule |
| Most common allergies are due to ALLERGENS such as | pollens, animal dander, house dust and dust mites, molds, certain drugs, insect stings, and many foods. other substances are dyes, perfumes, cosmetics, soaps, detergents, tobacco, feathers, fabrics, etc |
| know about latex allergy | incidence of latex allergy has increased with expanded use of gloves in hospital. ask pt. about allergic reaction. if allergic, it should be noted in red on patients chart. |
| An allergic reaction may manifest itself as: | Hay Fever, asthma, eczema, conjunctivitis, dermatitis, urticaria or hives, food allergy occupational allergy, and anaphylaxis |
| What is hay fever | an allergic reaction to trees, grass,and weed pollens. It is Americas number 1 chronic illness. It may be seasonal or pernnial or both. |
| Hay Fever is aka: | Allergic Rhinitis. |
| The most common seasonal cause of Allergic Rhinitis in EARLY SPRING is: | trees |
| The patient is always given written instructions to follow before allergy testing. These instructions state that: | the patient is to stop all antihistamine drugs 7 days prior to testing. Steroids should be discontinued at least 30 days prior to tests. |
| When testing patients for hypersensitivity to certain substances, such as allergens, be sure that you have ___ and ___ available for emergency use | epinephrine and an antihistamine such as benedryl (wrote in: diphenhydramine=benedryl) |
| The three basic types of skin tests are: | 1.scratch (epicutaneous) or prick 2.patch 3.intradermal |
| Steps 3 of scratch test (that we highlighted) | perform skin test. Make small 1/8 inch scratch in selected site, then drop the allergen extract in scratched area. Discard the needle. Using another sterile lancet or needle, repeat the same process, until all ordered allergen extracts have been applied |
| Step 4 of the scratch test (that we highlighted) says to ask the patient to remain still for ___ minutes | 20 |
| the patch tests involves: | the placement of a suspected allergen onto the skin [read all on pg 229] |
| Intradermal tests involve: | the injection of a minute amount of suspected allergen into the epidermal layer, thus producing a wheal [read all on pg 229] |
| Once physician has determined diagnosis, treatment regimen may include: | 1.Avoidance of allergies 2. Drug Therapy 3. Immunotherapy |
| When going through the 3 main treatment regiments for allergies, one should avoid: | antibiotics |
| Allergens may enter through many modes of entry. these include: | inhalation, ingestion, direct contact, injection, and insect stings |
| What are Corticosteroids? | anti-inflammatory agents that are chemically related to the naturally occurring hormone cortisone. (it helps reduce inflammation |
| What term and form of treatment means treatment of a disease process by stimulating the bodys immune system | immunotherapy |
| Immunotherapy may treatment of choice when: | pt cannot avoid allergens, pt doesn't respond to other treatment, symptoms interfere with one's life style |
| Allergenic extracts should always be given in ___ ___ and never in ___ | should be given in subcutaneous tissue and never in muscle |
| What type of system should be used when giving allergenic extracts | Use site-rotation system for each extract |
| How should allergic extracts be stored? | Allergic extracts should be refrigerated |
| Allergic extracts, stored in the refrigerator should retain their potency for | 10-12 weeks |
| *a note* | severe reactions can occur therefore emergency equipment and supplies must be available for use |
| The patient should be observed for __ to __ minutes following the injection of an allergic extract | 15 to 30 |
| What should you NOT do if you come into contact with stinging insects? | do not beat the air with your hands or slap the insect. This may trigger an attack. Do not run! |
| What is the best attire to be wearing when near a stinging insect? | wear close fitting clothes that wont trap an insect in the folds. Long sleeves and pants are even better protection |
| When should you should be especially careful of stinging insects? | after a rainstorm. Pollen is scarce then and insects are easily provoked |
| What attracts stinging insects | looking like a flower. light bright colored clothing and sweet smelling perfume, lotion. etc |