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Inflammatory cells & mediators Infection & immunity Insect hypersensitivity Occupational allergy & asthma Otitis and eustachian tube dysfunction Pediatric allergy and asthma Pharmacotherapy Ocular allergy Patient education Risk factors for allergy Rhinitis Sinusitis Training and education Urticaria and angioedema NOTIFICATION OF ACCEPTANCE Notification of acceptance rejection will be e-mailed by the end of June contact Congrex if you have not received your notification email by the beginning of July ; . The corresponding author will receive all correspondence concerning the abstract. The corresponding author is responsible for informing all authors of the status of the abstract. All abstract presenters will be asked to reconfirm their attendance after receiving the notification. If you don't reconfirm your abstract presentation, register and pay the registration fee before 31 August 2007 your abstract will be cancelled. PUBLICATION OF ABSTRACTS Accepted abstracts will be published in the Abstract Book which can be requested on the registration form. They will also be published on a CD-ROM and or on the Internet. The abstracts will also be printed in the supplement to the WAO journal, Allergy & Clinical Immunology International Journal of the World Allergy Organization, which will be handed out at the Congress.
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To [Dr C] ; . No new medication for depression, hypertension or the prostate problem was recorded as being prescribed the Voltaren Emulgel was prescribed for a different condition ; . As a result of the lack of detail it is not possible to give a firm opinion in relation to Complaint no. 1 listed above ; . In addition, there is sometimes a lack of sufficient clinical information symptoms, signs ; . For example, no record of examination findings including blood pressure ; is included in the notes for 2 99, and 15 6 99, and no record of prostate symptoms signs on 24 5 99. It is notable that no cardiovascular symptoms or examination findings apart from occasional blood pressure and weight measurements ; are recorded over the period of records provided July 98 June 99 ; , even though [Mr B] had a history of probable heart attack, and the records 21 7 98 ; state that notes had been received from the previous doctor. As observed under question 1, para l a ; above, this could be due to a failure by [Dr C] to interrogate and examine, or to a failure to record adequately. Question 7: Are there any other issues that arise from [Dr C's] response and other information provided? 1. A potentially serious duplication of prescription appears to have occurred on 24 5 99, with the result that a double dose of Inhibace Plus as well as Hytrin was recorded as being dispensed on 5 6 see Pharmacy record document N ; . This error, if confirmed, constitutes inadequate care by both [Dr C] and the pharmacy, and had the potential to cause hypotension or serious metabolic upset BNF 40, 2000, p 89 ; . There is insufficient information to indicate if [Mr B] actually took the double dose, or if this contributed to his death. However since he was said to be in excited or agitated state after an argument at the time of the collapse see document 1, para 3 ; , hypotension is unlikely to have been the precipitating event. There is no record of blood tests to determine electrolyte status. 2. Some inconsistencies suggesting lack of care were noted in the prescribing of antihypertensives and Hytrin over the months preceding [Mr B's] death. In particular, reasons for adding Inhibace to Norvasc on 27 11 98, and changing Norvasc to Adalqt Oros on 6 1 99, are not stated. A further switch to Inhibace Plus on 24 4 appears to be related to changes in the pharmaceutical schedule, and is considered appropriate in the circumstances. However there is no record of renal function and electrolyte monitoring since first commencing Inhibace on 27 11 98. These investigations are recommended for patients especially elderly or with compromised renal function ; at least after commencing an ACE inhibitor such as Inhibace, especially if a diuretic is also prescribed as in Inhibace Plus ; , and especially if the patient is also on a calcium channel blocker Zdalat ; ref: BNF 40, 2000, ps 89-90 ; . CONCLUSIONS Overall [Dr C's] standards of care in respect of the issues complained about are satisfactory, and appropriate drugs were prescribed, though not always with adequate.
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12 yrs: initially 200 mg PO qd x 14 days, then increase to 200 mg PO bid Severe life-threatening hepatotoxicity has been reported. Rash, fever, headache. Rash is less common when patients are started with a lower initial dose and then escalated up to usual maintenance dose. If rash develops, do not use prednisone as it may increase the incidence and severity of the rash. May take with or without food. Nifedipine Adalat, Procardia Calcium Channel Blocker; Cap: 10, 20 mg Tab SR: 30, 60, 90 mg; Hypertension: 0.6-0.9 mg kg day PO tid-qid max 120-180 mg day ; . May dose SR tablet q12-24h. Hypertensive emergency: 0.25-0.5 mg kg dose max 10 mg ; PO SL, may repeat in 4-6 hrs Nitrofurantoin Furadantin, Macrodantin Antibacterial; Cap: 25, 50, 100 mg Susp: 25 mg 5 mL; Over 1 mos: Acute infection: 5-7 mg kg day PO qid max 400 mg day ; Chronic suppressive therapy for UTIs: 1-2 mg kg day PO q24h max 100 mg day ; Nitroprusside sodium Nipride, Nitropress Vasodilator; Inj: 25 mg mL, 50 mg mL ; 0.5-10 mcg kg min continuous IV infusion, titrate to desired effect Monitor cyanide and thiocyanate levels if therapy is prolonged 24 hours ; or if renal function is impaired. Norepinephrine Levophed Alpha-adrenergic Agent; Inj: 1 mg mL; 0.05-2 mcg kg min continuous IV infusion; titrate to desired effect. Increases contractility, tachycardia, vasoconstriction. Nortriptyline Aventyl, Pamelor Tricyclic Antidepressant; Cap: 10, 25, 50, mg Soln: 10 mg 5mL; Nocturnal enuresis give dose 30 minutes prior to bedtime ; : 6-7 yrs 20-25 kg ; : 10 mg PO qhs 8-11 yrs 25-35 kg ; : 10-20 mg PO qhs 11 yrs 35-54 kg ; : 25-35 mg PO qhs Depression: 6-12 yrs: 1-3 mg kg day PO tid-qid max 20 mg day ; 12 yrs: 1-3 mg kg day PO tid-qid max 150 mg day ; Therapeutic serum range 50-150 ng mL. Nystatin Mycostatin, Nilstat Antifungal; Cream Oint: 100, 000 U gm [15, 30 gm] Powder: 100, 000 U gm [15, 56.7 gm] Susp: 100, 000 U mL [5, 60, 480 mL ; Tab: 500, 000 U Troche: 200, 000 U Vaginal tablet: 100, 000 U; Oral candidiasis: Infants: 1 mL of susp in each side of the mouth qid Children: 5 mL swish and swallow qid Adolescents: 5-10 mL swish and swallow qid Topical: Apply topically bid-qid. Troche: Dissolve 1-2 in mouth 4-5 times daily. Not absorbed orally; therefore, not effective for systemic infections. Vaginal: Adolescents: 1 tablet vaginally qhs x 14 days Octreotide Sandostatin Somatostatin Analog; Inj per mL: 0.05, 0.1, 0.2, mg; Intermittent dosing: 1-10 mcg kg dose SC IV bid max 50 mcg dose ; Continuous infusion: 1 mcg kg IV x followed by 1 mcg kg hr Ofloxacin Floxin Antibacterial, Fluoroquinolone; Inj: 4 mg mL Ophth soln: 0.3% [1, 5, 10 mL] Tab: 200, 300, 400 mg; Pelvic Inflammatory Disease Adolescents ; : 400 mg PO bid x 14 days in combination with metronidazole 500 mg PO bid ; Bacterial corneal ulcer ophth soln ; : instill 1-2 drops q 30 minutes while awake and awaken 4-6 hours after sleep to instill more days 1-2 ; , followed by 1-2 drops q1h while awake days 3-7 ; , followed by 1-2 drops qid day 8 until treatment completion ; Conjunctivitis ophth soln ; : instill 1-2 drops q2-4h days 1-2 ; followed by 1-2 drops qid days 3-7 ; Otic use ophth soln used as no otic product commercially available ; : instill 2 drops IN EARS qid Olopatadine Patanol Antihistamine, ophthalmic; Ophth Soln: 0.1% [5 mL]; Instill 1-2 drops in affected eye s ; bid Contact lenses should not be worn. Olsalazine sodium Dipentum Bowel Anti-inflammatory Agent; Cap: 250 mg; 12 yrs: 250-500 mg dose PO bid with food Diarrhea often occurs. Omeprazole Prilosec Proton Pump Inhibitor; Cap, DR: 10, 20, 40 mg; 1 mg kg day PO q12-24h max 20 mg day for duodenal ulcer, 40 mg day for gastric ulcer, 60 mg day for hypersecretory conditions ; . Helicobacter pylori: 15-30kg: 10 mg PO bid, 30 kg: 20 mg PO bid Simplified omeprazole suspension SOS ; is made by dissolving contents of capsule in sodium bicarbonate. SOS is stable for 14 days at room temperature or for 45 days under refrigeration. Diarrhea is a common side effect. Ondansetron Zofran Antiemetic; Inj: 2 mg mL Soln: 4 mg 5 mL Tab: 4, 8, 24 mg Tab, orally disintegrating: 4, 8 mg; Chemotherapy Induced Nausea IV ; : 0.15 mg kg dose usual adult max 8 mg ; given 30 min prior to chemotherapy and 4 hr and 8 hr later or 0.3 mg kg dose x 1 thirty minutes prior to chemotherapy or for severe cases, 0.15 mg kg x 1, followed by 0.45 mg kg day max 32 mg day ; as a continuous IV infusion Post-op nausea and vomiting IV ; : 2 yrs and 40 kg: 0.1 mg kg IV x 1, 40 kg: 4 mg IV x 1 Oral: 4-11 yrs: 4 mg dose PO 30 min prior to chemotherapy; may repeat 4h and 8h after 1st dose 11 yrs: 8 mg dose PO 30 min prior to chemotherapy; may repeat 4h and 8h after 1st dose Most frequent side effects are diarrhea and headache. The orally disintegrating tablets dissolve on the tongue without any water. Oral Polio vaccine OPV, Orimune Vaccine; PO: 0.5 mL; 0.5 mL PO See Immunization Schedule in appendix for timing and amaryl and adalat.
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