Question

13. Antihypertensives -types, when to start, adherence issues, 14. decongestants and antihistamines-types, contraindications, side effects 15. Treatment of asthma - during pregnancy, stepwise approach, monitoring 16. Tobacco cessation -correct usage of Chantix and other drugs useful for smoking cessation, patient education, contraindications 17. TB treatment regimen 18 Warfarin, clopidogrel, ASA, Coumadin uses and patient education

Answer 1

13. Types of antihypertensive drugs:

Diuretics

ACE inhibitors

Calcium channel blockers

Angiotensin II receptor antagonist.

When to start?

When the blood pressure is 150/90 or more in two to three different episodes.

Adherence issues:

Antihypertensive drugs adherence is very important in controlling hypertension.

14.Decongestants and anti histamine:

Types of anti histamine:

Brompheneramin

Cetrizine

Chlorpheneramin

Clemastin

Diphenylhydramine

Types of decongestants:

Adrenergics

Corticosteroid.

Contraindication:

Glaucoma

Uncontrolled hypertension

Diabetes and hyperthyroidism

BPH

Heart disease

Liver disease

Side effects:

Dry mouth

Difficulty in urination

Constipation

Blurred vision

Dizziness

15. Treatment of asthma:

During pregnancy:

Beta 2 antagonist

Inhaled steroids

Theophylline

Step wise management:

Step 1:

Short acting beta antagonist

Step 2:

Low dose of inhaled steroids

Step 3:

Low dose inhaled steroids and long acting beta antagonist.

Step 4:

Medium dose inhaled steroids and long acting beta antagonist.

Step 5:

High dose of inhaled steroids and long acting beta antagonist.

Step 6:

High dose of inhaled steroids and long acting beta antagonist and oral steroids.

16. Tobacco cessation:

Chantix used in tobacco cessation which reduce the sense of pleasure from cigarettes and other tobaccos.

Patient education:

1. Nicotine withdrawl.

2. Inform about tobacco quitting

3. Tabacco quitting counseling

4. Inform family and friends regarding quitting.

As perfect norms 4 question answered.