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You are here: Home / Medical Cost Containment / Medical Issues / Conside Nasal Allergies in Your Wellness Program To Reduce Work Related Injuries as Well

Conside Nasal Allergies in Your Wellness Program To Reduce Work Related Injuries as Well

May 17, 2009 By //  by Dr. Leffingwell Leave a Comment

Nasal Allergies Strategy Plan

Prevent build-up of an injurious amount of allergens:
Remove allergens from your environment. Concentrate first on the bedroom, as you spend more time there than any other single place. Keep windows closed, do not permit pets in the room and eradicate plants growing near your home causing trouble.

Keep harm at a distance:
Wear a respirator (mask) when doing tasks likely to cause a problem. Examples might include cleaning a dusty or moldy storeroom, mowing the lawn or vacuuming carpets.

Keep harm from getting closer:
Use cromolyn sodium, an over-the-counter (OTC) nasal spray designed to prevent certain white cells from releasing histamine in response to an allergen. This medication prevents the attack you will have in a few hours, but will not help the attack you are already having –that histamine has already been released. It must be used three or four times a day to be effective, but works well.

Put up a strong barrier: An antihistamine, such as OTC or one of the more popular prescription medications will prevent the released histamine (workersxzcompxzkit) from binding to cells in spite of using cromolyn sodium.

Repel the attack in progress: Use a cortisone-like drug to relieve inflammation caused by antihistamine released in spite of masks and cromolyn sodium and causing inflammation in spite of the antihistamine.

Reach for
weapons which, though less effective than the first-line defenses, might still turn the tide. Use decongestants***, like pseudoephedrine. These act like adrenalin to decrease blood flow and hence congestion and edema (swelling) in the nose and decreases secretions.

Things are desperate! Do anything you can: If you have actual sinus pain in the cheeks or around the eyes, or if you have a severe earache, use oxymetazolone nasal spray. This is a last resort, because it is an adrenalin-like medicine that may raise blood pressure and cause nervousness. (Consult your primary caregiver before taking these types of medications, especially if you are elderly, have high blood pressure or other heath problems.) If you use it for more than five days, it may become the problem rather than fixing the problem. It will, however, often provide rapid relief when nothing else does.

You’ve lost. Hope for rescue:
If sinus infection has begun, you may need antibiotics. Note, however, infection usually does not occur until late in the illness. The pain results from a pressure difference.

Author: Sanford S. Leffingwell, M.D., MPH is a board certified specialist in occupational medicine, with degrees from Harvard University, University of Colorado School of Medicine and The Johns Hopkins School of Hygiene and Public Health. He can be reached at ssl@hlmconsultants.com. www.HLMConsultants.com

Click on these links to try it for yourself.
WC Calculator www.ReduceYourWorkersComp.com/calculator.php
TD Calculator www.ReduceYourWorkersComp.com/transitional-duty-cost-calculator.php
WC 101 www.ReduceYourWorkersComp.com/workers_comp.php

Do not use this information without independent verification. All state laws are different so do not implement any cost containment procedures until you have discussed them with your corporate counsel. Your individual doctor must treat medical issues. We are not giving medical advice; this is an overview of wellness topics, not medical advice.

©2008 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law. If you would like permission to reprint this material, contact Info@WorkersCompKit.com

Filed Under: Medical Issues, Wellness Programs and Workers Compensation Tagged With: Medical Issues

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