Anaphylaxis Treatment and Antihistamines Quiz
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Questions and Answers

What is the first-line treatment for anaphylaxis?

  • Antihistamines
  • IV Fluids
  • Epinephrine (correct)
  • Corticosteroids
  • Antihistamines are effective in treating hypotension during anaphylaxis.

    False (B)

    Name two symptoms of anaphylaxis.

    Difficulty breathing and swelling

    During anaphylaxis, a massive release of __________ occurs.

    <p>histamine</p> Signup and view all the answers

    Match the following treatments with their primary function:

    <p>Epinephrine = Increases blood pressure Antihistamines = Block histamine action IV Fluids = Increase blood volume Corticosteroids = Reduce inflammation</p> Signup and view all the answers

    What is a primary reason that 1st generation antihistamines have anticholinergic properties?

    <p>They block muscarinic receptors. (C)</p> Signup and view all the answers

    1st generation antihistamines are known for being selective in their action on H1 receptors only.

    <p>False (B)</p> Signup and view all the answers

    What neurotransmitter does the parasympathetic nervous system primarily use?

    <p>acetylcholine</p> Signup and view all the answers

    What is the primary mechanism of action of cromolyn sodium?

    <p>Preventing the release of histamine from mast cells (B)</p> Signup and view all the answers

    1st generation antihistamines share a chemical structure similar to __________ and other anticholinergic agents.

    <p>tricyclic antidepressants</p> Signup and view all the answers

    Antihistaminics can produce sedation and relieve motion sickness.

    <p>True (A)</p> Signup and view all the answers

    Match the following effects of 1st generation antihistamines with their descriptions:

    <p>Sedation = Affects cognitive function and alertness Anticholinergic effects = Inhibits the actions of the parasympathetic nervous system Non-selective receptor binding = Interacts with various receptors including muscarinic receptors</p> Signup and view all the answers

    Name one antihistaminic drug that can relieve vertigo and motion sickness.

    <p>Dimenhydrinate</p> Signup and view all the answers

    The two types of known histamine receptors involved in allergic reactions are H1 and ____.

    <p>H2</p> Signup and view all the answers

    Which of the following substances can significantly increase the sedation caused by older generation antihistamines?

    <p>Zolpidem (C)</p> Signup and view all the answers

    First-generation antihistamines are less likely to cause sedation than second-generation antihistamines.

    <p>False (B)</p> Signup and view all the answers

    Name one characteristic effect of first-generation antihistamines on the central nervous system.

    <p>Sedation</p> Signup and view all the answers

    First-generation antihistamines have a prominent __________ effect.

    <p>sedating</p> Signup and view all the answers

    Match the following substances with their categories:

    <p>Zolpidem = Hypnotic Lorazepam = Sedative Buspirone = Anxiolytic Morphine = Narcotic Analgesic</p> Signup and view all the answers

    Which of the following is NOT a benefit of second-generation antihistamines?

    <p>Greater anticholinergic effects (B)</p> Signup and view all the answers

    Diphenhydramine is a second-generation antihistamine.

    <p>False (B)</p> Signup and view all the answers

    What is one reason why second-generation antihistamines may improve patient adherence?

    <p>Longer half-life</p> Signup and view all the answers

    What is one of the common anticholinergic effects of antihistamines?

    <p>Blurred vision (D)</p> Signup and view all the answers

    Older adults are typically less sensitive to the side effects of antihistamines than younger individuals.

    <p>False (B)</p> Signup and view all the answers

    Which two medications should be approached with caution due to the risk of sedation when used simultaneously?

    <p>Alcohol and benzodiazepines</p> Signup and view all the answers

    Fexofenadine has been associated with a risk of __________ interval prolongation.

    <p>QT</p> Signup and view all the answers

    Match the antihistamines with their recommendations regarding use:

    <p>Diphenhydramine = Caution in driving Cetirizine = Less sedating but may cause drowsiness Loratadine = Dose adjustments for liver impairment Fexofenadine = Monitor for QT interval issues</p> Signup and view all the answers

    What is the primary function of antihistamines?

    <p>To block the effects of histamine (D)</p> Signup and view all the answers

    Urticaria is commonly known as hives.

    <p>True (A)</p> Signup and view all the answers

    What are two types of rhinitis?

    <p>Allergic rhinitis and non-allergic rhinitis</p> Signup and view all the answers

    Anaphylaxis is a severe, potentially life-threatening __________ reaction.

    <p>allergic</p> Signup and view all the answers

    Which receptor is responsible for controlling stomach acid production?

    <p>H2 receptor (C)</p> Signup and view all the answers

    Only allergic reactions can trigger rhinitis.

    <p>False (B)</p> Signup and view all the answers

    What are the symptoms of urticaria?

    <p>Raised, itchy welts or hives</p> Signup and view all the answers

    Match the following allergy terms with their descriptions:

    <p>Antihistamine = Medication that blocks histamine effects Urticaria = Skin condition with raised welts Rhinitis = Inflammation of the nasal mucous membranes Anaphylaxis = Severe allergic reaction</p> Signup and view all the answers

    Flashcards

    Antihistamine

    A medication that blocks histamine effects, reducing allergy symptoms like itching and swelling.

    Allergy

    An immune system reaction to a harmless substance.

    Allergen

    A substance that triggers an allergic reaction.

    Urticaria

    Skin condition with raised, itchy welts (hives), often due to allergies.

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    Rhinitis

    Inflammation of nasal membranes, causing runny/stuffy nose, sneezing, and itching.

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    H1 Receptor

    A receptor that histamine binds to, triggering allergy symptoms.

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    H2 Receptor

    A receptor in the stomach that controls acid production.

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    Anaphylaxis

    Severe, potentially life-threatening allergic reaction.

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    Epinephrine for Anaphylaxis

    The first-line treatment for anaphylaxis; it causes vasoconstriction, reverses histamine effects, and raises blood pressure.

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    Hypotension in Anaphylaxis

    A dangerously low blood pressure caused by the inflammatory mediators released during anaphylaxis.

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    Antihistamines in Anaphylaxis

    Medicines blocking histamine, reducing symptoms. They're supportive, not the primary treatment for hypotension.

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    IV Fluids in Anaphylaxis

    Used to increase blood volume and blood pressure in cases of severe hypotension to help stabilize the patient.

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    First-generation antihistamines

    Older antihistamines that often cause drowsiness and/or dry mouth.

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    Sedating effect of antihistamines

    Drowsiness or sleepiness caused by antihistamines.

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    Anticholinergic effects of antihistamines

    Dry mouth, constipation, and urinary retention caused by some medications, potentially linked to antihistamines.

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    Drug interactions with antihistamines

    Combining antihistamines with certain other drugs can significantly increase drowsiness or sedation risks.

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    Hypnotics

    Sleep-inducing drugs.

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    Sedatives

    Drugs that have a calming or sleep-inducing effect, often leading to reduced alertness and drowsiness.

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    Second-generation antihistamines

    Newer antihistamines offering reduced side effects, including sedation, compared to first-generation medications.

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    Blood-brain barrier

    A protective barrier that separates the circulating blood from the brain and central nervous system, influencing drug absorption.

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    Antihistamine Anticholinergic Properties

    First-generation antihistamines can block muscarinic receptors, affecting parasympathetic nervous system functions mediated by acetylcholine.

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    Non-selective Receptor Binding

    First-generation antihistamines bind to various receptors, including muscarinic acetylcholine receptors, in addition to H1 receptors.

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    Muscarinic Receptors

    These receptors are targeted by acetylcholine, a key neurotransmitter in the parasympathetic nervous system.

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    Parasympathetic Nervous System

    Part of the autonomic nervous system that controls bodily functions like digestion and relaxation.

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    Acetylcholine

    Neurotransmitter primarily used by the parasympathetic nervous system to transmit signals.

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    Cromolyn sodium's action

    Cromolyn sodium prevents the release of histamine from mast cells, thus avoiding an allergic response. It doesn't block histamine receptors or affect muscle tone, so it must be given before histamine release.

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    How Antihistamines Work

    Antihistamines block histamine by binding to histamine receptors, preventing histamine from triggering its usual allergic responses.

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    H1 Receptor's Role

    H1 receptors, found in blood vessels, bronchioles, intestines, and skin capillaries, are responsible for the allergic responses caused by histamine.

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    Other Effects of Antihistamines

    Besides blocking histamine, antihistamines can also have local anesthetic, anticholinergic, and sedative effects, relieving symptoms like vertigo, motion sickness, and nausea.

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    Antihistamines in OTC Products

    Antihistamines are commonly found in over-the-counter products like cold medications and sleep aids, due to their ability to relieve common cold symptoms and induce sedation.

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    Sedating Antihistamines

    First-generation antihistamines like diphenhydramine and chlorpheniramine can cause drowsiness and sedation, making them potentially unsafe for driving or operating machinery.

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    Anticholinergic Effects

    Some antihistamines can block the action of acetylcholine, leading to dry mouth, blurred vision, urinary retention, constipation, and confusion, especially in older adults.

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    Antihistamines and Older Adults

    Older adults are more sensitive to antihistamines and may experience more side effects, such as confusion and dizziness. Lower doses or second-generation antihistamines might be more suitable.

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    Antihistamines and Heart Conditions

    Fexofenadine, a second-generation antihistamine, is associated with a risk of QT interval prolongation, which affects heart rhythm. Use caution in patients with pre-existing heart conditions.

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    Study Notes

    Allergies, Antihistamines, and Antiallergics

    • Allergies occur when the immune system reacts to a harmless substance, an allergen.
    • Allergens include pollen, dust mites, animal dander, foods, and insect stings.
    • Antihistamines block the effects of histamine, a chemical released during allergic reactions.
    • Histamine causes itching, swelling, and redness by dilating blood vessels.
    • Antihistamines work by preventing histamine from binding to its receptors (H1 receptors).
    • H2 receptors are in the stomach and are also important targets for some antihistamines (H2 receptor blockers).
    • H1 receptors also exist in the bronchioles, and some antihistamines are good targets to help treat allergic bronchoconstriction.
    • Urticaria (hives) is a skin condition characterized by raised, itchy welts.
    • Anaphylaxis is a severe allergic reaction that needs immediate medical attention.
    • Antihistamines have varying degrees of sedative effects, especially first-generation antihistamines.
    • Antihistamines can interact with other medications, such as hypnotics, sedatives, anxiolytics, or alcohol, potentially intensifying sedative effects.
    • Antihistamines are used in various conditions like allergic reactions, dry nasal secretions, nausea, common cold symptoms, and as sleep aids.
    • Cromolyn sodium is an antiallergic medication that inhibits the release of histamine.
    • Cromolyn is a preventive treatment and should be used before symptoms arise.
    • Antiallergic medications often target mast cells, a type of immune cell responsible for releasing histamine.

    Types of Antihistamines

    • Antihistamines are classified into first-generation and second-generation based on their actions and side effects.
    • First-generation antihistamines often cause drowsiness due to their ability to cross the blood-brain barrier.
    • Second-generation antihistamines usually have less drowsiness and fewer sedative side effects, primarily block H1 receptors peripherally.
    • First-generation antihistamines include diphenhydramine (Benadryl), chlorpheniramine, doxylamine (Unisom), promethazine (Phenergan).
    • Second-generation antihistamines include loratadine (Claritin), cetirizine (Zyrtec), fexofenadine (Allegra).
    • Some specific antihistamines are available as over-the-counter products (OTC). Others might be RX only.
    • Some 1st-gen antihistamines can be used for sleep aids (OTC).
    • Allergen: A substance causing an allergic reaction, often a protein.
    • Antigen: A substance that triggers an immune response (often a foreign protein).
    • Antibody: Proteins produced by the immune system in response to an antigen, binding to and neutralizing antigens.
    • Rhinitis: Inflammation of the nasal lining, often caused by allergens.
    • Erythema: Reddening of the skin due to increased blood flow (often related to hypersensitivity/inflammation).
    • Dermatitis: Inflammation of the skin (often associated with an allergic reaction or irritation).

    Important Actions of Histamine

    • Vasodilation of capillaries (leads to redness and inflammation)
    • Contraction of smooth muscles.
    • Increased heart rate.

    Different Clinical Situations and Considerations

    • Different antihistamine use for different medical scenarios and conditions.
    • How to correctly use the Cromolyn inhaler
    • Understanding antihistamine properties in relation to various medical scenarios and factors.
    • Understand that antihistamines act upon the nervous system through various receptor sites.
    • Recognize the different side effects, especially drowsiness, with use of some antihistamines.

    Drug Interactions

    • Antihistamines can interact with other drugs, potentially increasing drowsiness or other side effects.

    Adverse Effects and Contraindications of Antihistamines

    • First-generation antihistamines can have more side effects that can include drowsiness, dry mouth, hypotension (low blood pressure), rapid heartbeat, anorexia, and urinary retention.
    • First generation (1st) antihistamines can have more adverse effects overall and should be carefully considered given their greater potential for sedation.
    • Second-generation antihistamines have a lower potential for side effects.

    Other Information

    • Some antihistamines are also used for conditions other than allergies and can have diverse pharmacological activities relevant in various clinical settings.
    • The role of H1 and H2 receptors is crucial in understanding their different actions.
    • The study suggests the correct administration of Gastrocrom medication.
    • There are important considerations for the safety and effective use of antihistamines during pregnancy .

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    LEC 2 - Antihistamine PDF

    Description

    Assess your knowledge on the first-line treatments for anaphylaxis and the role of antihistamines. This quiz covers symptoms, mechanisms of action, and the effects of different antihistaminic drugs. Test your understanding of both histamine receptors and their clinical applications.

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