Transcript: [J10.1] Follow-up & Referrals (Uphold & Graham, 2013) Pharmacological Treatment Hay Fever Seasonal or Perennial Skin Testing IgE antibodies Nasal Smears Serum Allergy Tests Nasal Endoscopy, possible bx Sleep Study and PFTs (NGC, 2015) Viral Infection, Mucosal Erythema & Swelling, Fever, Sore Throat & Hoarseness Rhinosinusitis Fatigue, well nourished Non-Pharmacological Treatment Allergist or Immunologist American Academy of Family Physicians. (2010). Treatment of allergic rhinitis. Retrieved from http://www.aafp.org/afp/2010/0615/p1440.html#afp20100615p1440-f1 Tympanic membrane, no discharge, no tenderness, hearing Objectives RHINITIS is the, "Inflamma- tion of mucus membranes of the nose, usually accompanied by edema of mucosa and a nasal discharge (Uphold & Graham, 2013)." Nose Describe Symptomatology Subjective History & Review of Systems Objective History & Physical Assessment Diagnostic Tests Differential Diagnoses Treatment Plan Review of Systems Social & Family History Follow up in 3-4 weeks or sooner if symptoms worsen, SOB or CP *Diagnosis is usually made from the history and physical ... diagnostic tests are not required * --Allergic or Non-Allergic-- Lung sounds, Cough, Sputum, Equal chest expansion [J01.0] Normocephalic, facial structures, No Sinus Pain (Uphold & Graham, 2013) (Uphold & Graham, 2013) Facial/Sinus pain, Inflammation, Purulent discharge, Fever History of Present Illness General Appearance Neuro & Cardiac General Constitution: Fatigue Psych: Irritability Concentration Memory Work performance Allergic/Immunologic: Known allergens and reactions Food, drug or animal Past allergy tests or tx Rhoades, J. & Jensen, M. M. (2015). Differential diagnosis for the advanced practice nurse. New York, NY: Springer Publishing Company. Respiratory Head PERRLA, Conjuctiva, & Sclera Inflammation, Watery Eyes, Dark Under-Eyes National Guidelines Clearinghouse. (2015). Clinical practice guideline: allergic rhinitis. Retrieved from https://www.guideline.gov/summaries/summary/49010/clinical-practice-guideline-allergic-rhinitis?q=allergic+rhinitis Common Cold American College of Allergy, Asthma and Immunology. (2014). Allergic rhinitis. Retrieved from http://acaai.org/allergies/types/hay-fever-rhinitis Shoua D. Hang BSN, RN (Rhoads & Jensen, 2015) Eyes References Pharynx, Tonsils, Thyromegaly (ACAAI, 2014) Family Predisposition Living Environment & Triggers Indoor Allergens: dust mites, mold, cockroaches, pet dander Outdoor Allergens: Pollen, mold spores, ragweed Irritants: Cigarette smoke, perfumes, gas exhaust Occupational exposure Sleep Changes Fatigue Level Hay Fever Uphold, C. R. & Graham, M. V. (2013). Clinical guidelines in family practice (5th Ed.). Gainsville, FL: Barmarrae Books. Ears Diagnostic Criteria Allergic Cause and 1 or more of the following symptoms: Nasal Congestion Runny Nose Itchy Nose or Sneezing (Uphold & Graham, 2013) Centers for Disease Control and Prevention. ( 2014). Allergies and hay fever. Retrieved from https://www.cdc.gov/nchs/fastats/allergies.htm Throat Physical Exam ...Also Known As... "Seasonal Allergies" "Allergic Rhinitis" (AAFP, 2010) (Rhoads & Jensen, 2015) Saline Nasal Spray Neti Pot Salt gargle or Honey & Lemon Eye Drops Avoidance of Known Allergen Essential Oils Acupuncture Review of Systems [J00] Patent nares & Septum, Pale & Boggy Mucosa, Turnanates, Watery Rhinorrhea, Nasal Creasing Other clinical findings include: Clear Rhinorrhea, Nasal Congestion, Pale Discoloration of the Nasal Mucosa, and Red and Watery Eyes. Physical Exam PQRST of Symptoms: Onset, duration, pattern, and progression Alleviating and aggravating factors Relationship to season/weather, place, time of day, activity, allergen exposure Differential Diagnoses Thank You! (NGC, 2015) Influenza Viral Infection, More Severe symptoms than cold, Fever, Malaise & Myalgia Uphold & Graham, 2013) Itching (mostly eyes, ears, nose, mouth, throat, and skin) Sneezing Runny nose Stuffy nose Trouble Smelling Headache Sore throat Coughing Watery, red, or puffy/swollen eyes Dark circles under your eyes Antihistamines 2nd Generation Oral or Nasal Intranasal Corticosteroids Oral Leukotriene Receptor Antagonist ie. Singulair Decongestants Combination Therapy Immunotherapy SQ or SL (AAFP, 2011) General / HEENT / Respiratory
Transcript: Getting behind the wheel with hay fever can be as dangerous as being drunk The only right way New Scientist "Not to be sneezed at" Andżelika Majewska April 2015 Yes or no? Hay fever Are allergy seasons getting worse?
Transcript: - Signs and Symptoms - Self care - Medicines HAY FEVER OUTLINE Presented by Ha Khuu
Transcript: Treatments Diagnosed? Your doctor will know if you have hay fever based on your symptoms and physical exam. If he needs more proof, he’ll use the skin test to see how your body reacts to the certain substances. During a skin test the doctor will prick your arm with a tiny tube that contains common allergens. If you’re allergic to any of them, your skin will get red, itchy, or swollen at the test site. Medication Symptoms & Signs Nasal corticosteroids Antihistamines Decongestants Cromolyn sodium Leukotriene modifier Nasal ipratropium Oral corticosteroids You May Need To Take Always bathe and wash hair before bedtime (pollen can collect on skin and hair throughout the day). Do not hang clothes outside to dry where they can trap pollens. Wear a filter mask when mowing or working outdoors. What is Hay Fever? Hay Fever is a type of a respiratory disease an allergy caused by pollen or dust in which the mucous membranes of the eyes and nose are itchy and inflamed, causing a runny nose and watery eyes. HAY FEVER WHAT? The patients may experience: Pain in the ear Nasal: congestion, loss of smell, redness, runny nose, sneezing and or stuffy nose Eyes: itchiness, puffy eyes, redness, or watery eyes Respiratory: breathing through the mouth or wheezing Also common: coughing, headache, itching, and throat irritation
Transcript: there are some ways to reduce the amount of the allergen you are exposed to Better Health Channel 2013, Hay fever, ASCIA, accessed 28 August 2014, <http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/hayfever>. DeWitt, C 2013, Allergic Rhinitis: Hay Fever; Seasonal Allergies, EBSCO, accessed 28 August 2014, <http://web.b.ebscohost.com/chc/detail?sid=3a9a6e69-df22-49b8-8707-98cb02573641%40sessionmgr112&vid=0&hid=113&bdata=JnNpdGU9Y2hjLWxpdmU%3d#db=cmh&AN=HL12067>. DeWitt, C 2013, Sinusitis: Sinus Infection; Acute Sinusitis; Chronic Sinusitis, EBSCO, accessed 28 August 2014, <http://web.b.ebscohost.com/chc/detail?sid=6e2bf658-7449-4842-9a3e-fc07a2806255%40sessionmgr115&vid=0&hid=113&bdata=JnNpdGU9Y2hjLWxpdmU%3d#db=cmh&AN=HL11554>. common treatments include nasal sprays, anti histamines and eye drops symptoms bibliography interesting facts History Hay Fever This diagram shows the nasal cavity that the pollen or other allergens pass through, creating the allergic reaction known as Hay Fever. hay fever was a big problem during the world wars because of unhygienic and dirty conditions with mites, fleas and pollen everywhere treatment pharmacy doctor Immunotherapy what is happening? reducing the symptoms Causes Hay Fever can affect different people in a number of ways. Around 95% of hay fever sufferers are allergic to grass pollen If your parents are allergic to something, you're more likely to develop an allergy too (it doesn't have to be the same allergy as your parents). fever can also triple the likelihood of people developing asthma seeking medical help Hay Fever is a common term for allergic rhinitis, an allergic reaction that occurs when you breathe in substances that you are allergic to. Hay Fever when allergens are breathed in through the nasal passage and pass through the nasal cavity they cause swelling and this starts the allergic reaction. Hay Fever can be caused by many different substances and can affect those who suffer from it all year around.
Transcript: Prevention sneezing itchy nose/ nasal congestion red, watery eyes runny nose sinus pressure cough headache Allergies can not be spread from person to person.Therefore this disease is non-communicable. Found this at... Thank you for watching . http://web.ebscohost.com/ Best ways to prevent hay fever/seasonal allergies is: Stay inside when pollen is highest Wash bedding weekly in hot water Avoid outside activities Treatment Non-communicable provocation test Symptoms The most effective way to treat allergies/hay fever is to avoid the allergen.OR.... medications. Some are: Nasal sprays Pills Mast cell inhibitors By: Jamie Interesting Facts/Different Tests Provocation Testing You breathe in air containing an allergen. The doctor will watch to see if you have an allergic reaction, such as wheezing or trouble breathing. Skin Prick Test: A tiny bit of an allergen is placed under the skin with a needle. The doctor watches to see if the skin in that area becomes red, raised, and itchy. Hay Fever
Transcript: Your immune system views harmless inhaled pollen as dangerous substance invading the body and causes the body to start overreacting. Why did we chose Hay Fever? People who suffer Hay Fever in the spring, are probably allergic to tree, grass and weeds pollen. People who suffer Hay Fever all year-round are usually allergic to more allergens found indoors, like dust-mites, feathers, and animal dander. Hay fever Stay away from triggers that can cause allergic reactions. Rinsing the inside of the nose with warm salt water to flush out irritants and excess mucus. Self-Care An immunological response to an allergic agent. What is Hay Fever? Anti-inflammatories, Decongestant, and Eye decongestant. Johana V. Sarah W. Julie O. Medication Hay Fever is usually self-diagnosable. Symptoms of Hay Fever Causes of Hay Fever We chose Hay Fever because its common among a lot of people and no one cared much to look into it. Also my sister gets it all the time, year-round and I always thought she was being dramatic and didn't want the dog near her because she always blamed him. I used to think she just didn't like him. Until I learned more about it, I can believe her now. Hay Fever is mostly caused by pollen. Sneezing Runny Nose Red Watery Itchy Eyes Congestion Tightness of the Throat Treatment for Hay Fever
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