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NAPLEX Prep > Allergic Rhinitis, Cough, Cold > Flashcards

Allergic Rhinitis, Cough, Cold Flashcards

1
Q

first line for mild allergic rhinitis

A

OAH

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2
Q

first line for moderate to severe allergic rhinitis

A

intranasal steroid

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3
Q

OAH options for mild AR

A

hydroxyzine
meclizine
benadryl
chlorphenerimine
doxylamine

second gen preferred
loratadine
cetirizine
fexofenadine

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4
Q

intranasal steroids for mod-severe AR

A

budesonide
beclometasone
fluticasone

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5
Q

INS preferred in pregnancy

A

beclometasone
budesonide

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6
Q

levocetirizine can be used in which ages

A

6 months and up

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7
Q

cetirizine can be used in which ages

A

2 and up

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8
Q

loratadine can be used in which ages

A

2 and up

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9
Q

fexofenadine can be used in which ages

A

2 and up

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10
Q

when are intranasal antihistamines recommended in AR? What are the available OTC options?

A

can combine with INS and can also help a bit with congestion

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11
Q

OAHs help with congestion. T or F

A

false

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12
Q

what is the max sudafed amount allowed OTC

A

3.6 grams a day
9g in 30 days

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13
Q

phenylephrine and oxymetazoline nasal sprays
warnings
counseling points

A

3 days MAX
CI with MAO-i
6 yo +
2-3 sprays per nostril BID prn

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14
Q

montelukast
warnings
recommended when

A

BBW neuropsychiatric ADE
recommended as lasst line for ppx

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15
Q

guaifenesin brand names

A

robitussin, mucinex

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16
Q

adult guaifenesin dosing

A

200-400mg PO Q4H prn or
600-1200mg ER Q12H

17
Q

MDD guaifenesin

A

2.4 grams

18
Q

guaifenesin ER can be used in which ages

A

> 12 yo

19
Q

guaifenasin dosing in 6-11 yo

A

1200mg MDD

20
Q

guaifenesin dosing 4-5 yo

A

600mg MDD

21
Q

what is recommended for a productive cough

A

expectorant (guaifenasin/mucinex/robitussin)

22
Q

what is recommended for a dry cough

A

cough suppressants
(dextromethorphan aka “DM”, benzonatate)

23
Q

adult dextromethorphan dosing

A

10-20mg PO Q6-8H prn

24
Q

MDD dextromethorphan in adults

A

120mg

25
Q

benzonatate dosing

A

100-200mg po TID PRN

26
Q

what past cough and cold products are CI in <18yo

A

codeine, hydrocodone, menthol

27
Q

benzonatate is safe for ages

A

> 10 yo

28
Q

recommendations for cough and cold in <2 yo

A

SEE PCP
humidifier
hydration
nasal bulbs
saline sprays
vicks (menthol)

NAPLEX Prep (57 decks)

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