Question

Adverse reaction - nitrates Precautions and Use of decongestants for patients with heart conditions or hypertension Immunizations -passive, live virus and scheduling Long-term proton pump inhibitor therapy requirements

Answer 1

Nitrates:
Adverse reaction:
-Headache, Lightheadedness, flushing, nausea, dizziness, burning sensation under the tongue, low blood pressure, itching, skin irritation.
decongestants:
Decongestants used to treat colds and allergy and stuffy nose, but this decongestant can increase the blood pressure. Patients with cardiac problems should avoid decongestant. decongestant are vasoconstrictions, it activates alpha-adrenergic receptors on blood vessels of the nasal mucosa. It is better to avoid the patient with hypertension. when patient taking a decongestant should take plenty of rest and limit the activity. Take plenty of fluids to thin the mucus and it helps for easy nasal drainage.
Immunization, live,passive virus, scheduling:
Vaccinations are using with a different process, it contains the live virus to cause no illness and kill organisms or viruses.
Live vaccines for 0-6 years of childhood for measles, mumps, rubella(MMR), varicella, influenza, rotavirus, zoster, yellow fever.
Long term proton pump inhibitor requirement:
Long term proton pump inhibitor for use of gastroesophageal reflux disease(GERD) and other acids related disorder, maintenance nonsteroidal anti-inflammatory drugs, it worsens the gastric atrophy in Helicobacter infection. long term use of this therapy reduces acid secretion by binding H+/K+ adenosine triphosphatase located in the parietal cells.