Cough Flashcards
____ and _____ are highly sensitive to mechanical stimuli (bronchial obstruction, lung inflation).
Rapidly adapting receptors (RARs) and slowly adapting stretch receptors (SARs)
What is cough variant asthma?
asthma in which cough is the only symptom
Rapidly adapting receptors (RARs) and slowly adapting stretch receptors (SARs) are highly sensitive to ____, such as _____.
mechanical stimuli; bronchial obstruction, lung inflation
Upper airway cough syndrome (UACS) is also known as ____.
postnasal drip syndrome
This is a cough that is triggered by low level stimuli such as:
- changes in ambient temperature
- taking a deep breath
- laughing
- talking on the phone for more than a few minutes
- cigarette smoke
- aerosol sprays
- perfumes
- eating crumbly dry food
Neuropathic Cough (Chronic Cough Hypersensitivity Syndrome)
The _____ nerve is the major afferent pathway in the cough reflex arc.
vagus
The efferent pathway of the cough reflex consists of 4 phases:
- Inspiratory Phase
- Compressive Phase
- Expiratory Phase
- Relaxation Phase
What are the three main subtypes of afferent nerves that regulate cough?
- rapidly adapting receptors (RARs)
- slowly adapting stretch receptors (SARs)
- C-fibers
_____ cough is defined as cough lasting more than 8 weeks in duration.
Chronic
What is the tx for Upper airway cough syndrome (UACS)?
first generation anti-histamine/decongestant combination medication for ≥ 2 weeks
Where is a voluntary cough initiated?
the cerebral cortex
This is cough with eos in the airway inflammation without variable airflow limitation or hyperresponsiveness.
non-asthma eosinophilic bronchitis (NAEB)
C-fibers are highly sensitive to ______.
noxious chemical stimuli
What is the tx for Neuropathic Cough (Chronic Cough Hypersensitivity Syndrome?
neuropathic medications, such as amitryptyline and gabapentin
Subacute cough is defined as cough lasting _____ in duration.
3-8 weeks
Where can cough anatomically be initiated?
- ear
- pharynx
- lungs
- trachea
- heart
- esophagus
What are the s/s of Neuropathic Cough (Chronic Cough Hypersensitivity Syndrome)?
- repeated throat clearing
- chest tightness
- hoarse voice
- dysphonia
- a globus sensation
- dysphagia
The most common cause of cough in children and adults is ______.
an acute viral URI
What are the s/s of Upper airway cough syndrome (UACS)?
- sensation of “tickle” or something in throat
- throat clearing
- hoarseness
- nasal congestion and drainage
- cobblestone appearance of oropharyngeal mucosa
- mucus in nasal passages or oropharynx
What is Neuropathic Cough (Chronic Cough Hypersensitivity Syndrome)?
Cough that is triggered by low level stimuli such as:
- changes in ambient temperature
- taking a deep breath
- laughing
- talking on the phone for more than a few minutes
- cigarette smoke
- aerosol sprays
- perfumes
- eating crumbly dry food
_____ is also known as postnasal drip syndrome.
Upper airway cough syndrome (UACS)
Acute cough is defined as cough lasting less than ____ in duration.
3 weeks
____ cough is defined as cough lasting 3-8 weeks in duration.
subacute
What is the tx for non-asthma eosinophilic bronchitis (NAEB)?
inhaled corticosteroid for at least 4 weeks
The three most common causes of chronic cough in immunocompetent adults with normal chest x-rays are ____, ____, and ____.
- upper airway cough syndrome (UACS)
- asthma
- GERD
What is non-asthma eosinophilic bronchitis (NAEB)?
eos in the airway inflammation without variable airflow limitation or hyperresponsiveness
Chronic cough is defined as cough lasting more than _____ in duration.
8 weeks
_____ are highly sensitive to noxious chemical stimuli.
C-fibers