Antitussives Flashcards
1
Q
Types
A
- Opioid
- Non-opioid
2
Q
Opioid antitussives
A
- Codeine
- Hydrocodone
3
Q
Opioid Antitussives MOA
A
- works on cough center
- also works as analgesia, drying effect
4
Q
Non-opioid antitussives
A
- Dextromethorphran
- Bexonatate (Tessalon)
5
Q
Non-opioid antitussives
dextromethorphan MOA
A
- depresses cough center in medulla
- or cough receptors in throat, trachea, lungs
- elevates cough threshold
- pseudobulbar effect: sudden laughing/crying
6
Q
Non-opioid antitussives
Benzonatate (Tessalon) MOA
A
- numbs stretch receptor cells in respir system
7
Q
Non-opioid antitussives
Benzonatate caution
A
productive cough
8
Q
Non-opioid antitussives
Benzonatate SE
A
- dizziness
- headache
- sedation
- nausea
- constipation
- nasal congestion
- pruritis
9
Q
Non-opioid antitussives
Dextromethorphan contraindications
A
- hyperthyroid
- advanced cardiac + vessel dz
- hypertn
- glaucoma
- MAOIs (antidepressants)
10
Q
Non-opioid antitussives
Dextromethorphan SE
A
- dizziness
- drowsiness
- nausea
11
Q
Opioid antitussives
contraindications
A
- opioid dependency
- respir depression
- alcohol
- anoxia (no O2)
- hypercapnia (high CO2)
- renal + liver dz
- BPH
- COPD
12
Q
Opioid antitussives
SE
A
- sedation
- N/V
- ligh headedness
- constipation
13
Q
Nursing implications
A
watch for
- sedation, drowsiness, dizziness
- respiratory
- CNS depressants
- dextromethorphan abuse
