Tadalafil zeichnet sich durch eine außergewöhnlich lange Halbwertszeit im Vergleich zu anderen PDE5-Inhibitoren aus. Diese pharmakokinetische Eigenschaft führt zu einer verlängerten Exposition des Wirkstoffs im Organismus. Die Eliminationsrate hängt von der hepatischen Aktivität des CYP3A4-Enzyms ab. Lipophile Eigenschaften unterstützen eine weite Verteilung in unterschiedlichen Geweben. Eine ausgeprägte Stabilität gegenüber Nahrungsaufnahme macht den Stoff besonders konstant in seiner Wirkung. Unter generischen Präparaten wird cialis online häufig mit einem vergleichbaren pharmakologischen Profil beschrieben.

8 allergy corrected lamp 09redone 1.27.10

Part 2: Life-Threatening Allergy Management Plan (LAMP)
To Be Completed By Health Care Provider Valid for Current School Year ________________
Name: ___________________________________ DOB: ___________________
Allergy to: __________________________________________________________________
Asthma:
No *High risk for severe reaction □yes □ no □ Asthma Action Plan
It is medically necessary for student to carry epinephrine during school hours Yes No
Signs of an Allergic Reaction Include:
Systems:
Symptoms:
Itching and swelling of the lips tongue or mouth Itching and or a sense of tightness in the throat, hoarseness and hacking cough Hives, itchy rash and/or swelling about the face or extremities Nausea, abdominal cramps, vomiting, and/or diarrhea Shortness of breath, repetitive cough and/or wheezing *the severity of symptoms can quickly change. All the above symptoms can potentially progress to a life-threatening situation*
Action for a Minor Reaction:
1. If ingestion is suspected and/or symptom(s) are: minor itching “and/or” mild hives to skin give: Liquid Benadryl (or generic dephenhydramine) Dose:______________________
by mouth now and every 4-6 hours as needed.
2. Call Mother at _____________________ Father at _________________ or emergency contact.
3. Call Dr. _____________ at ___________________ to make physician aware of child’s reaction.

If condition worsens or does not improve within 10 minutes follow steps for MAJOR Reaction below:
Action for a Major Reaction:
1. If symptom(s) are large amount of hives, throat swelling, cough, difficulty breathing, wheezing,
vomiting, diarrhea or if symptoms progress after Benadryl is given, give:
-Epinephrine: inject intramuscularly: (check below)
Epipen® Epipen® Jr Twinject ™ 0.3mg Twinject ™ 0.15mg -Liquid Benadryl: dose: ____________ every 4-6 hours as needed (if able to tolerate liquids)
-Albuterol /or quick relief inhaler: 2 puffs with spacer now (IF asthmatic)
Give above now then call:

2. Call RESCUE SQUAD 911 ASK FOR ADVANCED LIFE SUPPORT

3. Repeat dose of Epinephrine if no improvement in 5-10 minutes

4. Call Mother at _____________________ Father at _________________ or emergency contact.

5. Call Dr. _____________ at _______________ to make physician aware of child’s reaction.
________________________ _________ _________________________ _________
PARENTS SIGNATURE
DOCTOR’S SIGNATURE
Print MD Name: ___________________________________
Address: ___________________________________
Part 3: Life-Threatening Allergy Management Plan (LAMP)

Permission to Carry and/or Self-Administer Epinephrine (if appropriate)

Name: _________________________________ DOB: __________________________
I, as the Healthcare Provider, certify that this child has a medical history of severe allergic reactions has been
trained in the use of the prescribed medication(s) and is judged to be capable of carrying and self-administering this medication(s). The nurse or the appropriate school staff should be notified anytime the medication/injector is used. This child understands the hazards of sharing medications with others and has agreed to refrain from this practice. _________________________________ ________________________________ ____________ Healthcare Provider Signature Print Healthcare Provider name Date In accordance with the Code of Virginia Section 22.1-274, I agree to the following: I will not hold the school board or any of its employees liable for any negative outcome resulting from the self-administration of said emergency medication by the student. I understand that the school, after consultation with the parent(s) may impose reasonable limitations or restrictions upon a student’s possession and/or self-administration of said emergency medication relative to the age and maturity of the student or other relevant consideration. I understand that the school may withdraw permission to possess and self-administer the said emergency medication at any point during the school year if it is determined the student has abused the privilege of possession and self-administration or that the student is not safely and effectively self-administering the medication. _______________________________________ _______________________________________

Source: http://www.hampton.k12.va.us/departments/health/LifeThreateningAllergyMedical%20Plan.pdf