Allergic Rhinitis, Cough, Cold Flashcards
first line for mild allergic rhinitis
OAH
first line for moderate to severe allergic rhinitis
intranasal steroid
OAH options for mild AR
hydroxyzine
meclizine
benadryl
chlorphenerimine
doxylamine
second gen preferred
loratadine
cetirizine
fexofenadine
intranasal steroids for mod-severe AR
budesonide
beclometasone
fluticasone
INS preferred in pregnancy
beclometasone
budesonide
levocetirizine can be used in which ages
6 months and up
cetirizine can be used in which ages
2 and up
loratadine can be used in which ages
2 and up
fexofenadine can be used in which ages
2 and up
when are intranasal antihistamines recommended in AR? What are the available OTC options?
can combine with INS and can also help a bit with congestion
OAHs help with congestion. T or F
false
what is the max sudafed amount allowed OTC
3.6 grams a day
9g in 30 days
phenylephrine and oxymetazoline nasal sprays
warnings
counseling points
3 days MAX
CI with MAO-i
6 yo +
2-3 sprays per nostril BID prn
montelukast
warnings
recommended when
BBW neuropsychiatric ADE
recommended as lasst line for ppx
guaifenesin brand names
robitussin, mucinex
adult guaifenesin dosing
200-400mg PO Q4H prn or
600-1200mg ER Q12H
MDD guaifenesin
2.4 grams
guaifenesin ER can be used in which ages
> 12 yo
guaifenasin dosing in 6-11 yo
1200mg MDD
guaifenesin dosing 4-5 yo
600mg MDD
what is recommended for a productive cough
expectorant (guaifenasin/mucinex/robitussin)
what is recommended for a dry cough
cough suppressants
(dextromethorphan aka “DM”, benzonatate)
adult dextromethorphan dosing
10-20mg PO Q6-8H prn
MDD dextromethorphan in adults
120mg
benzonatate dosing
100-200mg po TID PRN
what past cough and cold products are CI in <18yo
codeine, hydrocodone, menthol
benzonatate is safe for ages
> 10 yo
recommendations for cough and cold in <2 yo
SEE PCP
humidifier
hydration
nasal bulbs
saline sprays
vicks (menthol)
