Colds 7.6 Flashcards

1
Q

How to decide what to use

A
  • Aim for most bothersome symptoms
    • Nasal congestion and cough usually
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2
Q

What can the patient expect when they start taking cold medicine

A
  • With analgesics and decongestants will feel better the rest unsure
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3
Q

How long will they take medicine

A
  • 3-4 days up to 7 for decongestants
    • Coughs can last for longer
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4
Q

Benefit of extra strength products

A
  • Some of the ingredients may be subtherapeutic
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5
Q

What is the difference between daytime/ nighttime configurations

A
  • Daytime is the same as nighttime but night time has a first gen antihistamine for sedation effect
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6
Q

What to do with cough and cold medication (Saline/suction, honey, topical decongestants, dosing off label

A
  1. Increase use of saline/ suction
    • Decrease expectations (not that good as they will still have congestion
      2. Use of honey for coughs
    • Not increasing therapeutic control and just a marketing thing
      • Low expectations but okay to use
        3. Increase use in topical decongestants
    • Not near a kids dose only 12 and up, not an increase use (100-1 oral to topical)
      • Don’t giving a kid an adult topical now but with experience there is much less adverse effects
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7
Q

Pregnancy and cough medicine

A
  • Avoid produce use in 1st trimester
    • If used
      Product selection same process
      Decongestants (topical safer then oral)
      Analgesics appear safe (check with physician)
    • DM use over codeine
    • Antihistamines are safe but not needed for common cold
    • Guaifenesin appears safe
    • Pregnancy rhinitis can occur
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8
Q

Diabetics (sick day management, caloric intake, blood glucose)

A

i) Sick day management is key for type 1 diabetics
- More worried about T1 as they don’t make insulin, on a sick day glucose is being produced and blood sugar levels increase, throwing on a drug is like adding a stick on. More worried about the cold itself
ii) Caloric and alcohol content of cough/ cold medicines get lots of attention but not big concerns
iii) Impact on blood glucose
- The cold itself is the biggest influence
- Oral decongestants have a small impact
- Topical decongestants/ antihistamines/ antitussives/ expectorants not an impact on bg

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9
Q

Hypertensives and cough/cold medicine

A
  1. Oral decongestants
    • Can affect bp: Blood vessels get tighter so bp goes up a tiny bit, but legal aspects
    • A key question to ask is have you used one before
      2. Legal aspects
    • How to word a recommendation (if giving a product)
    • Id rather not recommend one but if you want to I will help you pick one if you have used a decongestant before
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