56 - Viral Rhinitis Flashcards

1
Q

Viral rhinitis is AKA the ____ ____

A

common cold

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2
Q

Will resolve untreated in ___ days

A

7-10

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3
Q

non-pharms

A
  • prevent spread
  • wash hands
  • maintain usual intake
  • rest
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4
Q

do not use ______ for the common cold

A

antibiotics

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5
Q

use what for pain/fever

A

ibuprofen or acetaminophen

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6
Q

How do anticholinergic agents work (ex. intranasal ipratropium)

A

block cholinergic-mediated vasodilation

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7
Q

What are anticholinergic agents good for?

A

rhinorrhea and relief of sneezing but not congestion

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8
Q

Why are 2nd gen antihistamines not effective?

A

because they have no anticholinergic activity so there is no evidence for them to control rhinorrhea

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9
Q

Decongestants (_____ agonists) will help with congestion and improve rhinorrhea

A

alpha

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10
Q

who are decongestants approved for

A

> 12 yo

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11
Q

Which decongestant is better?

A

pseudoephedrine > phenylephrine

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12
Q

Prolonged use of topical nasal decongestants is associated with ?

A

rebound congestion

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13
Q

Only when is vitamin C effective?

A

if exposed to extreme physical stress (marathons, arctic expeditions) Need 1g/day to prevent a cold

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14
Q

Is vitamin D effective?

A

no

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15
Q

___ may decrease duration but s/e such as bad taste and nausea prevent use

A

zinc

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16
Q

Do not use menthol or camphor rubs in kids under ___

A

2 years old

17
Q

Is cold-fx (ginseng) recommended?

A

can decrease duration of symptoms but have to take daily x 4 months, can cause GI side effects

not enough evidence to recommend

18
Q

don’t use cough and cold products in kids under ___ yo

A

6

19
Q

Pregnancy:

Avoid oral ____ in 1st trimester

A

decongestants

20
Q

Pregnancy:

What should you avoid?

A
  • vitamin C bc you need such high dose
  • cold-fx (ginseng)
  • zinc, echinacea