53 - Chronic Cough in Adults Flashcards
chronic means it lasts longer than ___ weeks
8
What do you need to rule out?
- cough caused by ACEi
- post-infectious cough (persistent cough that lasts longer than 3 weeks after acute symptoms. Does not usually last > 8 weeks)
How do you treat cough due to pertussis ?
needs antibiotics
Non-pharms for chronic cough
- smoking cessation, avoid allergens and irritants, lifestyle modifications for GERD (weight loss, specific food/beverage avoidance)
- nasal saline irrigation with distilled or boiled water
If cause of cough is not apparent, then how do we treat this?
1st gen AH and a decongestant
How do we treat cough due to nonallergic rhinitis?
intranasal corticosteroids or intranasal ipratropium
How do we treat cough due to allergic rhinitis?
Antihistamines, INCS, or LTRA (ex. montelukast)
How do we treat cough due to chronic rhinosinusitis
antibiotics, short-course oral prednisone, INCS, or decongestants
How do we treat cough due to asthma?
SABA prn and ICS (basically just follow asthma protocol until it’s controlled)
How do we treat cough due to non-asthmatic eosinophilic bronchitis?
ICS
How do we treat cough due to GERD?
H2 blocker or PPI x 2-3 months
How do we treat cough due to ACE-induced cough?
stop ACEi as a trial (may take 1-4 weeks for resolution)
How do we treat cough due to pertussis?
isolate x 5 days and treat with macrolide antibiotics
administer a booster pertussis vaccine once in all adults
Place in therapy for antitussives?
to suppress cough to allow them to sleep
_______ can improve cough-specific quality of life and is recommended as an option for patients
gabapentin
