[NP-Clinical] Help with hives

[David or Diane Dito]

I've used Zyrtec before, too. However, most of my pt population is
uninsured, so generic Benadryl is usually more affordable for them. Good
point to bring out, though, as many will prefer the once daily dosing of
Zyrtec.

Diane Dito

-----Original Message-----
From: np-clinical-bounces at nurse.net [mailto:np-clinical-bounces at nurse.net]
On Behalf Of pattinp at verizon.net
Sent: Friday, January 12, 2007 5:22 PM
To: NP Clinical
Subject: Re: RE: [NP-Clinical] Help with hives

>Diane,
 Instead of the Benadryl, I use Zyrtec so the dosing is easier and zyrtec is
indicated for hives. The rest of the regimen I use is the same as you.

Patti NP of VA

From: David or Diane Dito <dddito at charter.net>
>Date: 2007/01/11 Thu PM 10:57:39 CST
>To: 'NP Clinical' <np-clinical at nurse.net>
>Subject: RE: [NP-Clinical] Help with hives

>
>For hives, I usually do Benadryl 50 mgQ6hrs 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 aMedrol dose pack for mild cases or
prednisone taper for more severe cases. Justmake sure she’s drinking plenty
of fluids and that she’s usinghumidifier (and changing filter/cleaning
frequently to help prevent mold) atnight to help counteract the drying
effects of the antihistamines, especiallygiven 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, 20077:30 PM
>To: NP Clinical
>Subject: Re: [NP-Clinical] Helpwith hive (was Pun warning. . .)
> 
>Adolescent 15 yo female on Amoxicillin 875 bid for sinus infection forten
days. On 11th day with no antibiotic given developed hives,benadryl gave
some relief but not entirely, still breaking out. Nowheezing or SOB. Off
antibiotic for four days, put on azythromycin for 10 daysyesterday (5 days
on and wait 5 days, then do the next pack for fivedays), and Alavert
(loratadine 10mg qd), still hives but not as much. Whatnext? Continue with
same treatment? (This is my daughter, by the way).Thoughts?
>Kathleen Allen, Psych. NP 
>
>
>
>
>
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Receive 6.0 Contact Hours of Pharmacology
NPCENTRAL.NET/CE/PAIN