RESPIRATORY MANAGEMENT
Using divided pill boxes. Reviewing the importance of vaccinations. Teaching proper inhaler use. These are examples of patient education topics related to this disease process.
What is COPD?
Group A Strep in a penicillin-allergic person can be treated with this medication.
What is a cephalosporin? BONUS: Name one!
Sublingual Nitroglycerin should be given to people with chest pain as long as they have a stable BP and aren’t also taking this medication.
What is Sildenafil?
First line treatment for otitis media.
Lymphoma and skin-cancer are included as risks in the black box warning of this atopic dermatitis drug.
What is Protopic (Tacrolimus)?
Toxicity of this drug leads to cardiac dysrhythmias, seizures and death.
What is theophylline?
This very common condition presents with a honey colored crust, is found often around the nares and mouth, and can be treated with a topical medication.
Patients taking warfarin should have this lab value checked at least once a month, but sometimes as often as twice weekly.
What is the INR?
Rub the bottle between your hands a few times to warm up the drops. Lay with the affected ear facing up when instilling drops. Avoid using q-tips. Consider wearing ear plugs or swim cap. These are all examples of patient education topics for this disease process.
What is swimmer’s ear or otitis externa?
Selsun blue is used to treat this topical fungal condition.
What is Tina versicolor?
The black box warning on this class of drugs states these medications, emphasizes the potential danger of using these drugs as mono therapy, as they can increase the risk of asthma-related deaths.
What are Long term or long acting beta agonists (LABAs)?
When a patient is started on this medication, they should follow-up and have labs done every 4 weeks as dosage is increased in increments of 25 to 50 mcg according to response.
What is Levothyroxine?
Ringing in the ears, nausea, vomiting, drowsiness, confusion and rapid breathing are all signs of potentially dangerous condition.
What is aspirin toxicity?
Sinusitis should be treated with an antibiotic for this length of time.
What is 10-14 days?
High doses of this medication used to treat plaque psoriasis, can lead to hypercalcemia.
What is Calciprotriene?
When a child takes singular, parents need to monitor for these signs.
What are changes in behavior like aggressiveness, anxiety, intense nightmares, and suicidal ideation?
Thyroid replacement medication dosages often need to be increased to maintain serum TSH within the normal range during when a patient has this condition.
What is pregnancy?
These drugs work to break down the original clot, opening the vessel for blood flow.
What are fibrinolytics?
Nasal lavage can help with sinusitis symptoms. It is best to recommend using this type of water.
What is distilled or sterile water?
Severe contact dermatitis is treated with these. (*HINT* multiple things)
What are topical corticosteroids, antihistamines, systemic oral steroids and drying agents?
These published comprehensive guidelines exist for the management of COPD.
What are the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines?
This serious, potentially fatal, metabolic complication of diabetes occurs when blood sugar levels remain very high for a prolonged period of time and is characterized by dehydration, high blood sugar, highly concentrated blood and mental status changes.
What is Hyperglycemic Hyperosmolar Syndrome or HHS?
Patients on heparin, enoxaparin should be monitored for this potential side effect.
What is drug-induced thrombocytopenia?
TWO PART QUESTION: If a child has both conjunctivitis AND otitis media on exam, this medication (a) should be prescribed because it covers the most causative agent (b).
What is augmentin (a) and haemophilus influenzae (b)?
Women and girls of child-bearing age who plan on taking Isotretinoin should have this test done in the office before starting treatment.
What is a pregnancy test?