work until it is reactivated.
This Concept Map, created with IHMC CmapTools, has information related to: Asthma & Allergic Rhinitis, Allergic Rhinitis two responses Early-phase (within minutes), Flonase Use instructions Shake bottle. Spray twice in air as test. Alternate nostril w/each puff. Spray away from septum. Tilt head forward., Moderate to Severe Daily Functions Impaired ???? Refer to physician, Anticholinergic ???? Ipratropium Nasal Spray 0.03%, 39 YO Male current meds Zyrtec for allergies qd, Allergic Rhinitis Two types Non-allergic, Anticholinergic Alleviates Secretions from the nose, Antigen-specific IgE binds to IgE recptors on mast cells which causes allergen-induced sensitization and inflammation, Allergic Rhinitis ???? Asthma, Persistent runny nose frequent sneezing coughing itchy eyes triggers exercise stress before sleep at night time temperature/season changes, 39 YO Male Family history 2 brothers with asthma and allergies, Late-phase (4+ hours) Mediators Cysteinyl leukotrienes, Allergic Treatment Decongestant, Albuterol MDI 2 puffs prn acute problems use 2-10 x daily (avg 6 doses/day) PEFR 310L/min after albuterol, Second generation: Cetirizine Desloratadine Fexofenadine Levocetirizine Loratadine Benefits minimal use once daily, Eliciting Agent (allergen) Increase number of Mast cells, Mononuclear cells, wheezing Coughing Breathlessness Congested Chest pain unable to work & limited activity d/t uncontrolled s/sx no health insurance, Moderate to Severe Daily Functions Impaired Managed with Same as mild, persistant & intermittent including immunotherapy, 39 YO Male Family history 2 sisters with asthma and allergies, Allergic Rhinitis Diagnosis mainly consists of History of allergies & Physical/Nasal Exam,