Ch: 77: Allergic Rhinitis, Cough , and Cold

Question 1

Allergic Rhinities

Answer 1

• inflammation of upper airway, lower airway, and eyes
• triggers release of inflammatory mediators
• immunoglobulin E

Question 2

Intranasal Glucocorticoids

Answer 2

• first choice, most effective

- mild adverse effects: drying, nose bleed

Question 3

Decongestants

Answer 3

• Upper resp. tract infection causes congestion
• Adrenergics, anticholinergics, and corticosteroids
• oral has less rebound congestion
• shrink engorged membranes
  example agents:
• Afrin, and Dristan

Question 4

Antitussives

Answer 4

** suppress NON-PRODUCTIVE or harmful cough (dry/keeps you awake)
- Opioid (codeine) antitussive act on cough center in the CNS (medulla): Provide analgesia & have a drying effect
– Non-opiod work the same way, but have no analgesic properties, addiction or CNS depression
Example Agents:
- codeine (Dimetapp-C)
- dextromethorphan

Question 5

Antitussives: Adverse Effect

Answer 5

• sedation, dizziness, drowsiness, N/V, dry mouth, constipation
• aware of MAOIs (breakdown E/Dopamine/ect)

Question 6

Expectorants

Answer 6

• get rid of secretions (cough up)
• not proven to actually reduce
• loosen and thin secretions
  Example Agent:
• Robitussin
• relief of PRODUCTIVE cough

Question 7

Cold Medications: Nurs Implications

Answer 7

• should be used for short term symptom management

- many not safe in prego time