Congestive respiratory

Question 1

acronym?

Answer 1

ADEMA

antitussives
decongestants
expectorants/mucolytics
antihistamines

Question 2

Antitussives

• acts on
• purpose
• mechanism of action
• side effects

Answer 2

short term cough suppression
used with acetaminophen
questionable efficacy

Question 3

decongestants

Answer 3

alpha 1 adrenergic agonists
stimulate nasal vasoconstriction
can cause CNS excitation (dizziness, HTN, palpitations)
may cause rebound congestion when used long term

Question 4

expectorants/mucolytics

Answer 4

Acetylcystein: breaks disulfide bonds of mucoproteins
forming less viscous secretion
used with other decongestants and antihistamines
Guaifenesin: encourages ejection of mucous
GI upset

Question 5

Antihistamines

Answer 5

Blocks H1 receptors
decreases nasal congestion, mucosal irritation, discharge (rhinitis, sinusitis)
able to cross blood brain barrier
newer generation much improved to CNS sedation