[NP-Clinical] Help with hives

[David or Diane Dito]

For hives, I usually do Benadryl 50 mg Q6hrs around the clock for 2 days
(and then Q6 prn, for H1 blocking), famotidine 20 mg or ranitidine 150 mg
BID (for H2 blocking), and then add in a Medrol dose pack for mild cases or
prednisone taper for more severe cases. Just make sure she's drinking plenty
of fluids and that she's using humidifier (and changing filter/cleaning
frequently to help prevent mold) at night to help counteract the drying
effects of the antihistamines, especially given her sinus infection and the
need to promote drainage.

 

Diane Dito

 

From: np-clinical-bounces at nurse.net [mailto:np-clinical-bounces at nurse.net]
On Behalf Of Kathleen
Sent: Thursday, January 11, 2007 7:30 PM
To: NP Clinical
Subject: Re: [NP-Clinical] Help with hive (was Pun warning. . .)

 

Adolescent 15 yo female on Amoxicillin 875 bid for sinus infection for ten
days. On 11th day with no antibiotic given developed hives, benadryl gave
some relief but not entirely, still breaking out. No wheezing or SOB. Off
antibiotic for four days, put on azythromycin for 10 days yesterday (5 days
on and wait 5 days, then do the next pack for five days), and Alavert
(loratadine 10mg qd), still hives but not as much. What next? Continue with
same treatment? (This is my daughter, by the way). Thoughts?

Kathleen Allen, Psych. NP 






-------------- next part --------------
An HTML attachment was scrubbed...
URL: http://lists.nurse.net/pipermail/np-clinical/attachments/20070111/12aecc54/attachment-0001.htm