56 - Viral Rhinitis Flashcards
Viral rhinitis is AKA the ____ ____
common cold
Will resolve untreated in ___ days
7-10
non-pharms
- prevent spread
- wash hands
- maintain usual intake
- rest
do not use ______ for the common cold
antibiotics
use what for pain/fever
ibuprofen or acetaminophen
How do anticholinergic agents work (ex. intranasal ipratropium)
block cholinergic-mediated vasodilation
What are anticholinergic agents good for?
rhinorrhea and relief of sneezing but not congestion
Why are 2nd gen antihistamines not effective?
because they have no anticholinergic activity so there is no evidence for them to control rhinorrhea
Decongestants (_____ agonists) will help with congestion and improve rhinorrhea
alpha
who are decongestants approved for
> 12 yo
Which decongestant is better?
pseudoephedrine > phenylephrine
Prolonged use of topical nasal decongestants is associated with ?
rebound congestion
Only when is vitamin C effective?
if exposed to extreme physical stress (marathons, arctic expeditions) Need 1g/day to prevent a cold
Is vitamin D effective?
no
___ may decrease duration but s/e such as bad taste and nausea prevent use
zinc
Do not use menthol or camphor rubs in kids under ___
2 years old
Is cold-fx (ginseng) recommended?
can decrease duration of symptoms but have to take daily x 4 months, can cause GI side effects
not enough evidence to recommend
don’t use cough and cold products in kids under ___ yo
6
Pregnancy:
Avoid oral ____ in 1st trimester
decongestants
Pregnancy:
What should you avoid?
- vitamin C bc you need such high dose
- cold-fx (ginseng)
- zinc, echinacea
