iv v Mild allergic conjunctivitis can be treated with an over the counter

Iv v mild allergic conjunctivitis can be treated with

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iv. v. Mild allergic conjunctivitis can be treated with an over-the-counter topical antihistamine/vasoconstrictor agent or with the more effective second-generation topical histamine H1-receptor antagonists.105-108 [I+, Good, Strong] Many topical medications can be stored in the refrigerator, as the cooling sensation upon instillation of the eye drop can provide symptomatic relief. Chronic use of vasoconstrictor agents can be associated with rebound vasodilation once the agent is stopped. If the condition is frequently recurrent or persistent, mast-cell stabilizers can be used.105 Many new medications combine antihistamine activity with mast-cell stabilizing properties and can be used for either acute or chronic disease.107,109-115 The use of topical mast-cell inhibitors can also be helpful in alleviating the symptoms of allergic rhinitis. Mast-cell inhibitors formulated as a nasal spray and P127 b. Additional testing that is necessary i. Additional testing that the patient could benefit from could be tear IgE tests and specific allergy testing would could be used to help determine if the patient is experiencing persistent allergies or seasonal allergies as well as identify the specific allergens causing his symptoms. Allergy testing could help the patient in his recovery and prevention of future episodes of exacerbation of symptoms (Varu et al., 2019). c. Patient education
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Call the office immediately if symptoms worsen & go to the ER if vision changes occur such as blurry vision, double vision, worsening sensitivity to light (Varu et al., 2019). Avoid touching your eyes and rubbing your eyes as much as possible (Varu et al., 2019). Wash hands with soap and water frequently in addition to before and after applying eye drops to eyes bilaterally (Varu et al., 2019). Apply cold compresses to eyes for 5 to 10 minutes twice daily for comfort (Varu et al., 2019). Stop exposing yourself to known or potential allergens (Varu et al., 2019). Stop smoking marijuana since the exposure to the smoke can be worsening or contributing to his allergy symptoms. Wear protective eyewear or sunglasses outside to protect from airborne allergens as well as from the light since his eyes are already sensitive to eyes (Varu et al., 2019). d. Referral i. Referral to ophthalmology is warranted since the patient is experiencing light sensitivity to eyes bilaterally which could indicate other complications or conditions other than allergic conjunctivitis (Varu et al., 2019). ii. Referral to allergy and immunology would also be warranted since the patient is experiencing seasonal allergies and has a history of seasonal allergies (Varu et al., 2019). 4. Active Problem List a. Seasonal allergies b. Allergic conjunctivitis c. Recreational drug use (marijuana) d. 5. Changes to be implemented for overall treatment plan i. There are no changes that I would implement at this time in the patient’s treatment plan because there are no tests or procedures that would warrant a change at this point. If the patient’s symptoms persistent even after treatment then further testing would be warranted, but not at this exact time (Varu et al., 2019).
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  • Fall '19
  • Common cold, Allergy, Allergic conjunctivitis

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