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This Concept Map, created with IHMC CmapTools, has information related to: Asthma - Nikki Save, interraction with mast cells and basophils causing inflammaion reduction, Asthma Allergies Physical Assessment Results Lungs: Mild Wheeze, Effector Phase Late Phase reaction Mediated by many immune cells and cytokine release, Allergic Rhinitis Symptoms Possible Congestion, Allergic Rhinitis Classifications Mild Persistant, Inhaled Steroids Inhaled steroid via mouth ~70-90% goes to GI, Inhaled Steroids Drug Choice Fluticasone Propionate, Endothelial cells Decrease Leak, Liver Resulting In Active Drug From The GI Tract Moving On, Anti-Inflammatory Effects With Increased GR Translocation, Corticosteroid Nasal Spray Downregulate Eosinophils, T-lymphocytes, Mast Cells, Macrophages, dendritic cells,, Inhaled Steroids Councling Points Rinse mouth after inhalation, Airway smooth muscles Decrease Cytokines, Allergic Rhinitis Treatment Options Leukotriene Modifiers, Fluticasone Propionate High Dose Greater than 440mcg, Allergic Rhinitis Asthma, Allergic Rhinitis Classifications Moderate Severe Intermittent, Allergic Rhinitis Symptoms Nasal Pruritis, Moderate Severe Persistant Presentation Symptoms present and troublesome, Epithelial cells decrease cytokines and mediators