UPCHUCK NORRIS
Sold as Dramamine Less Drowsy and Bonine, this antihistamine is labeled for motion sickness in ages 12 and up, 25–50 mg one hour before travel
What is meclizine?
This was the only sleep aid found safe and effective in the 1989 FDA monograph.
What is diphenhydramine?
Patients must stop all antihistamines at least this many days before allergy skin testing.
What is 4 days?
Give the OTC adult loperamide regimen.
What is 4 mg, then 2 mg after each loose stool, max 8 mg/day?
This barrier product is the only one FDA-approved to prevent poison ivy. It is applied at least 15 minutes before exposure.
What is bentoquatam?
This phosphorated carbohydrate solution contains fructose, so it is contraindicated in hereditary fructose intolerance and used cautiously in diabetes.
What is Emetrol (phosphorated carbohydrate solution)?
Give the diphenhydramine citrate sleep dose
What is 76 mg at bedtime?
If a breastfeeding patient needs an oral antihistamine, these three agents are preferred, dosed at this time.
*Name at least one agent AND when it should be taken.
What are short-acting chlorpheniramine, fexofenadine and loratadine; at bedtime after the last feeding?
**NOTE: loratadine is the preferred choice of the three.
This antidiarrheal causes a harmless black tongue and black stool that is not melena.
What is bismuth subsalicylate?
For mild poison ivy itch, this OTC topical corticosteroid is applied up to 3–4 times daily.
What is hydrocortisone?
*Reminder: Blister fluid does NOT spread the rash. Urushiol starts penetrating skin within about 10 minutes.
ACOG's first-line therapy for nausea and vomiting of pregnancy is this vitamin, 10–25 mg TID, with or without doxylamine.
What is pyridoxine (vitamin B6)?
The only FDA-recognized OTC stimulant for fatigue, caffeine, is labeled 200 mg no more often than every ______ hours, for this age ______ and up.
*need how frequently it is doses AND what age the label says a person can start using it.
What is every 3–4 h; 12 years?
To control dust mites, keep household humidity below this percentage.
What is 40%?
*Because they lose body moisture faster than they can replace it
NOTES: Dust mites thrive in 70-80% humidity. HEPA filter don't help because mite fecal particles settle to the floor too fast to be filtered?
This is first-line self-care for mild to moderate dehydration (3–9% body weight loss).
What is oral rehydration solution (ORS)?
This astringent is diluted 1:40 (1–3 packets per pint of cool water) for 15–30-minute soaks to treat poison ivy/oak/sumac.
*give BRAND and GENERIC name
What is aluminum acetate (Burow's solution)?
This spice-rack supplement, about 1 g/day in divided doses, has evidence for pregnancy nausea but warrants caution with anticoagulants.
What is ginger?
Smoking raises caffeine clearance 56% by inducing this enzyme, so quitters should do this.
What is CYP1A2; cut caffeine in half?
Stopping these two antihistamines after long-term use can cause this rebound effect.
What are cetirizine and levocetirizine; severe pruritus?
This osmotic laxative is dosed 17 g in 4–8 oz of liquid daily and may take 1–3 days to work.
What is polyethylene glycol 3350?
Oral use for itch is fine, but the topical form of this antihistamine should be avoided on poison ivy because it can sensitize.
What is (topical) diphenhydramine?
For a 4-year-old with motion sickness, this is the OTC antihistamine with labeled dosing for her age
What is dimenhydrinate?
This herbal root sleep aid may need 2–4 weeks of nightly use and has rare reports of hepatotoxicity.
What is valerian?
Rank these intranasal steroids by youngest labeled age: budesonide, fluticasone propionate, triamcinolone.
What is triamcinolone (2), fluticasone propionate (4), budesonide (6)?
This stimulant laxative works in 15–60 minutes as a suppository. Its oral enteric-coated tablets shouldn't be taken within 1 hour of antacids or milk.
What is bisacodyl?
Give the body surface area (BSA) thresholds for referral: urushiol dermatitis versus other contact dermatitis
What is >20% for urushiol and >10% for other contact dermatitis?