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A Episodes 1 to 4 were mentioned in reference 28, where they were referred to as patients 13a, 13b, 9, and 10, respectively. Episode 5 is also cited in reference 27 and was referred as patient 3. Episode 6 was mentioned on page 1166 and in Table 3 of reference 4. b F, female; M, male. c CSF samples were obtained 4 to 6 after the administration of the last dose of cefotaxime. d Episodes 1 and 2 occurred in the same patient within an interval of 3 months. Her weight was 30 kg. e These values denote the cefotaxime levels determined by high-performance liquid chromatography. The desacetylcefotaxime levels were 3.8 g ml in episode 1, 3.6 g ml in episode 2, and 15.3 g ml in episode 3. f ND, not done. g These levels were determined by microbiological assay.
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Epinephrine Pen EpiPen ; : Epinephrine is an emergency injectable prescription medication administered during a severe allergic reaction called anaphylaxis. Anaphylaxis is always treated as a medical emergency. Signs and symptoms may include flushing, hives, faintness, loss of consciousness, severe difficulty breathing, and throat closing. Anaphylaxis may occur following exposure to a variety of allergens, including insect stings and certain foods. Risk factors for anaphylaxis include food allergy, asthma, and prior history of reactions. School personnel should identify children with a history of previous anaphylaxis and establish an emergency plan for rapid treatment and medical attention. Exercised Induced Bronchospasm EIB ; or Exercise Induced Asthma: Exercise may be the only cause of asthma symptoms for some individuals. Exercise induced symptoms should be anticipated in all students with asthma. EIB may also be a sign of inadequate asthma management. Symptoms usually begin during exercise and peak five to ten minutes after stopping exercise. As directed by the authorized health care provider, use of quick-relief or certain long-term control medications before exercise may help reduce exercise-induced symptoms and allow a child to participate fully in exercise activities. Influenza Vaccine: Parents should be advised that annual influenza vaccinations are recommended for all children with asthma who do not have a history of severe allergic sensitivity to egg. Only the injectable, inactivated flu vaccine not intranasal flu vaccine ; is recommended for children with asthma. Individualized School Health Care Plan ISHP ; : An ISHP is a nurse care plan for managing health care services in school. A qualified school nurse develops the ISHP with the parent, student, and physician if appropriate ; . The ISHP uses the information from a current health assessment to identify the health care needs of the student for school attendance and to develop a plan for accommodations in school. The plan includes who will do what, when, where, and how; training, supervision and monitoring of designated school staff; documentation of all information; an evaluation system for student outcomes and changes; and, provides an accountability record for safe, consistent provision of services to the student. Long-term Control Medications: See Asthma Controllers for names and photos of different medications in Appendix, page 53. ; These medications are taken daily on a longterm basis to achieve and maintain control of persistent asthma. The goal of therapy is to prevent asthma symptoms from occurring. Long-term control medication is recommended for all three categories of persistent asthma. Since these medications can be administered at home, most students do not need to take them while they are at school. These medications do not provide quick relief of asthma symptoms. Examples of medications that provide long-term control include: Inhaled corticosteroids Aerobid, Azmacort, Beclovent, Flovent, Pulmicort, QVAR ; Inhaled long-acting Beta2agonists Foradil, Serevent ; Combination inhaled corticosteroid long-acting Beta2agonists Advair ; Oral leukotriene modifiers Accolate, Sinvulair ; Other medications: Theophylline, cromolyn Intal ; , and nedocromil Tilade ; Studies comparing inhaled corticosteroids to other controller medications are limited, but available evidence shows that no long-term control medication appears to be as effective as inhaled corticosteroids in improving asthma outcomes. 10.
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