- Assess temp.
- OTC meds for atleast 7 days (clariton/Allegra/Zirtec)
- If no change after OTC meds ... REFER
- MD will perform Allergy testing.
What is referral for Allergic Rhinitis?
100
- OTC meds : Claritin (Loratadine), Allegra (fexofenadine) or Zirtec (cetirizine)
- Rx : Steroids or Rx strength meds.
What is Tx for Allergic Rhinitis & NON allergic Rhinitis?
100
- Possible taking OTC meds at times when allergens are high.
What are preventions for Allergic Rhinitis?
100
- Seasonal AR in spring, Summer, Fall
- Pollens, ragweed, grasses
- Dust, animals, detergents, smoke, and sopas
What are causes of Allergic Rhinitis?
200
- Pruritis nasal discharge
-Sneezing
... pretty much the same as Allergic Rhinitis ...
What are S&S for Non- Allergic Rhinitis ?
200
- Immediate referral upon symptoms..
What is S&S of Non - Allergic Rhinitis?
200
Treatment is the same as Allergic Rhinitis..
What is Tx for Non- allergic rhinitis?
200
- Frequent Hand washing is the best l;ine of attack
- Avoid swimming in contaminated water.
What is Prevention of Non - Allergic Rhinitis ?
200
- Infection: Viral, Bacterial, fungal
- Inflammation/infections of the external auditory canal
- More prevalent in Px with narrow inner ear canals that slope further downward
What is description of Non - Allergic Rhinitis ?
300
- Post nasal drip lasting more than 7-10 days.
- headache
- Nasal obstruction
- facial tightness
What is S&S of sinusitis?
300
- Refer immediately to physician Dx is found by history/exam
- Transillumination
What is the referral of a sinusitis ?
300
- Analgesics, antipyretics,
- RTP: full resolution in 3-4 weeks
*** the px who is afebrile and feels well enough may be allowed to participate in athletics.
What is Tx/RTP of Sinusitis?
300
- Frequent hand washing
- Avoid swimming in contaminated water
What is prevention for sinusitis?
300
- Inflammation of the mucous membrane
What is the description of sinusitis?
400
- External nasal deformity
What is S&S of a deviated septum?
400
Dx made by history and exam.
What is the diagnosis and referral of a deviated septum?
400
- Stop epistaxis
- minimize swelling
RTP : As soon as it has been reduced and healed.
What is Tx/RTP of a deviated Septum?
400
- facial mask but people most likely wont wear it.
What is prevention of a deviated septum?
400
- Occurs from trauma often a blow to the side of the nose.
What is the description of a deviated Septum?
500
- Blood from the nostrils
Anterior : oozy very slow (vein)
Posterior: spurts, lots of blood (Arterial)
What are S&S of a epistaxis?
500
- refer a nasal speculum
What is the referal for epistaxis?
500
- Pinch and hold for 4-5 minutes in a forward head position.
- Ice for 20 minutes