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OTC Therapy > Cold > Flashcards

Cold Flashcards

1
Q

Diphenhydramine class

A

1st Gen antihistamine, sedating

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2
Q

Pseudoephedrine class

A

Decongestant

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3
Q

Phenylephrine class

A

Decongestant

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4
Q

Oxymetazoline spray

A

Decongestant

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5
Q

1st Gen vs 2nd Gen antihistamine

Which will help with the cold better?

A

1st Gen

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6
Q

What are some exclusions for self care?

A

Fever >101.5

<9 months old

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7
Q

If a pt is appropriate for self-care, what can you encourage them to do?

A

Rest + Hydration

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8
Q

How long could the symptoms last before you try alternate therapies/refer?

A

7-14 days

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9
Q

What are some non-drug measures to clear mucus?

A
  1. Saline rinse
  2. Humidifiers/hot showers
  3. Breathe-right strips
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10
Q

What are some topical treatments for nasal congestion/cough?

A

Vicks VapoRub on chest

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11
Q

What are some topical treatments to ease sore throat?

A

Cepacol + Chloraseptic Spray

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12
Q

Pseudoephedrine MOA

A

Stimulates alpha adrenergic receptors

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13
Q

Phenylephrine MOA

A

Stimulates alpha adrenergic receptors

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14
Q

Pseudoephedrine + Phenylephrine (dilate/constrict) blood vessels and decrease nasal and sinus congestion

A

constrict

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15
Q

Side effects of pseudoephedrine + phenylephrine?

A
  1. Increase blood pressure
  2. Alerting effect
  3. Reduces appetite
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16
Q

Pseudoephedrine + Phenylephrine (increase/decrease) blood pressure

A

increase

17
Q

Pseudoephedrine + Phenylephrine has a (alerting/sedating) effect

A

alerting

18
Q

Pseudoephedrine + Phenylephrine (increases/decreases) appetite

A

decreases

19
Q

Who should not use oral decongestants?

A

Ppl w/ cardio problems + children <4 yrs old

20
Q

What is the biggest issue with nasal decongestants such as phenylephrine + oxymetazoline?

A

Rebound congestion with repeated use

21
Q

Is rebound congestion associated with oral decongestants?

A

Nope

22
Q

Is rebound congestion associated with nasal (topical) decongestants?

A

Yurp

23
Q

When should nasal sprays be thrown away if contaminated?

A

2-3 months

24
Q

What are the major classes of antihistamines?

A

1st Gen and 2nd Gen

25
Q

What is the MOA of antihistamines?

A

Block H1 receptors

26
Q

Match the following:

  1. First Generation
  2. Second Generation
  3. Non-sedating and selective
  4. Sedating and Non-selective
A

First Generation and Sedating and Non-selective

Second Generation and Non-sedating and selective

27
Q

1st Gen vs 2nd Gen antihistamine

Which crosses the BBB?

A

1st Gen

28
Q

1st Gen vs 2nd Gen antihistamine

Which does not cross the BBB?

A

2nd Gen

29
Q

Besides H1 receptors, what else does 1st Gen antihistamines block?

A

Muscarinic

30
Q

What are some complementary therapies?

A

Zinc + High dose Vit. C (>2g/day)

31
Q

Why was zinc removed from the market for the cold?

A

Loss of smell

32
Q

Rhinitis medicamentosa is also known as…

A

Rebound congestion

OTC Therapy (43 decks)

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