Ear wax removal Carbamide peroxide Debrox Dents Ear Wax Murine Ear Wax Removal

Ear wax removal carbamide peroxide debrox dents ear

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Ear wax removal: Carbamide peroxide (Debrox, Dent’s Ear Wax, Murine Ear Wax Removal) softens and emulsifies the wax. 3. Respiratory system a. Review asthma, COPD, allergic rhinitis and associated drugs and side effects of drugs Asthma: Recurrent episodes of wheezing, breathlessness, and chest tightness Airflow obstruction is reversible. Mild intermittent: 2 days/week or less (short-acting beta 2) Mild persistent: >2days/week but not daily ( Low-dose inhaled corticosteriods are the mainstay for all age patients (first line treatment) Cromolyn or a leukotriene modifier are alternatives. See dosage charge for low-dose schedule of each inhaled corticosteroid. Moderate persistent: daily Severe persistent: throughout the day Step 4 therapy Medium-dose inhaled corticosteroids plus long-acting beta agonist Or medium-dose inhaled corticosteroid and a leukotriene modifier or theophylline Step 5 therapy High-dose inhaled corticosteroids plus long-acting beta agonists Step 6 therapy
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High-dose inhaled corticosteroids plus long-acting beta agonists and oral corticosteroids Severe persistent asthma requires consultation with asthma specialist. Once control is achieved, the patient is seen every 1 to 6 months to determine if a step up or step down in therapy is indicated. Inhaled beta-agonists are drug of choice during pregnancy. Inhaled corticosteroids (eg. Budesonide) are the long-term drug of choice for pregnancy Long-acting beta agonists should not be prescribed singly, need to be combined with an inhaled corticosteroid. Ipratropium (inhaled anticholinergic) for asthma maintenance is 2 to 3 puffs 4 times/day for adults. (Rinse mouth after inhaling medication.) Children under age 12 years: 1 or 2 puffs every 6 hours Ipratropium-albuterol combination (Combivent) is a second-line quick relief medication in the treatment of asthma. Tiotropium and aclidinium are not indicated for the treatment of asthma. Black Box warning : The risks of salmeterol (Serevent) and formoterol (Foradil) outweighed the benefits and should not be used singly in asthma for all ages. COPD: Ipratropium: 2 puffs (36 µg) 4 times/day (maximum 12 puffs per day) Ipratropium: 1 unit dose via nebulizer 3 to 4 times/day, may be mixed with albuterol Ipratropium-albuterol combination (Combivent): 2 puffs 4 times/day
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Tiotropium (Spiriva): 2 puffs of a single capsule once/day Aclidinium bromide (Tudorza Pressair): 1 puff twice/day i. Treatment for mild intermittent asthma vs mild-persistent asthma b. Differentiate between short and long acting beta agonists Beta 2 receptor agonist action: Bronchodilation Vasodilation in muscle and liver Relaxation of the uterus muscle Release of insulin Can cause hyperglycemia in diabetics, arrhythmias, Drug interactions : Digitalis glycosides (eg. Digoxin ): increased risk of dysrhythmia Beta adrenergic blocking agents: direct competition for beta sites resulting in mutual inhibition of therapeutic effects Including beta blocker eye drops
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