La tétracycline, connue sous le nom commercial Sumycin, agit en bloquant la fixation de l’ARNt sur la sous-unité 30S ribosomale, interrompant l’élongation de la chaîne protéique bactérienne. Ce mécanisme confère une activité sur un spectre large, incluant bactéries Gram positives, Gram négatives, rickettsies et spirochètes. Sa biodisponibilité digestive varie selon la prise alimentaire et les interactions avec les ions divalents comme calcium et magnésium. Sa diffusion tissulaire est importante, notamment dans les voies respiratoires et génito-urinaires. L’élimination se fait par voie rénale et biliaire. Les effets indésirables incluent photosensibilisation, troubles digestifs et coloration dentaire en cas d’administration précoce. Les guides thérapeutiques mentionnent sumycin prix, en soulignant la nécessité de restreindre son utilisation afin de limiter les résistances acquises.

Asthma management plan

OPTIMA HEALTH ASTHMA HEALTH CARE ACTION PLAN

TO BE COMPLETED BY PARENT:
Child’s Name _______________________________________ Date of Birth _____________ School _____________________________ Grade _______
Parent/Caregiver _________________________________ Phone (H) ________________ Phone (W) ________________ Phone (Cell) _______________
Address ______________________________________________________________ City _______________________________ Zip ________________
Emergency Contact _________________________________________________ Relationship _______________________ Phone ___________________
Name of Physician _______________________________________________________________ Office phone number ___________________________
What triggers your child’s asthma attack: (Check all that apply)
… Illness
… Food ___________________________________________________ … Allergies … cat … dog … dust … mold … pollen … Other __________________________________________________ Describe the symptoms your child experiences before or during an asthma episode: (Check all that apply) … Cough
TO BE COMPLETED BY PHYSICIAN:
The child’s asthma is: … mild persistent … moderate persistent … severe persistent … EXERCISE-INDUCED
Peak Flow
Symptoms OR Monitoring Treatment
WELL
GREEN ZONE
Controllers How
> ____________
Relievers
… Albuterol (with spacer/nebulizer) 2 puffs 1 minute apart q4° prn YELLOW ZONE
1. … Continue daily controller medications
2. Give albuterol 2-4 puffs (one minute between puffs) with spacer or 1 nebulizer treatment, wait 20 min.
… If no improvement, repeat 2-4 puffs. Wait 20 minutes. _____ to ______
… If no improvement, repeat 2-4 puffs. This will be 3 doses in one hour, proceed to 3 3. If child returns to Green Zone:
… Continue to give albuterol 2 puffs every 4 hours for 1 to 2 more days AND … Increase controller to _____________________________________________ for next 7 days 4. … No physical exercise … Physical exercise as tolerated
If child remains in Yellow Zone for more than 1-2 days or requires albuterol more than every 4
hours, call your doctor NOW!
EMERGENCY!
Give albuterol (2 puffs with spacer) NOW, and repeat every 20 minutes for 2 more doses OR give 1
dose nebulized albuterol – Call your doctor
Seek emergency care or call 911 if:
Child is struggling to breathe and there is no improvement 20 minutes after taking albuterol < ____________
Chest or neck is pulling in with breathing … Student is able to perform procedure alone and may carry … Student is able to perform procedure with supervision the inhaler with them, consult school nurse for local protocol … Student requires a staff member to perform procedure ; More than 2 absences related to asthma per month ; Albuterol is being used as a rescue medication 2 times per week at school ; The child is persistently in the Yellow Zone _________________________________________________________ I give my permission for school personnel to follow this plan, administer medication and care to my child and contact my physician if necessary. I assume full responsibility for providing the school with prescribed medication and delivery/monitoring device. I approve this Asthma Management Plan for my child. _______________________________________

Source: http://members.optimahealth.com/SiteCollectionDocuments/mylifemyplan-asthmaprogram-asthma-action-plan-child.pdf