Cough Flashcards

1
Q

Why do we cough?

A

To expel mucous

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2
Q

Afferent fibers travel to the cough center via the ___ nerve

A

vagus

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3
Q

Afferent fibers synapse at the cough center where?

A

Nucleus of the solitary tract in the brainstem

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4
Q

Contraction of expiratory muscles cause (positive/negative) intrathoracic pressure

A

positive

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5
Q

What are the duration of coughs?

A
  1. Acute <3 wks
  2. Sub-acute 3-8wks
  3. Chronic >8wks
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6
Q

What are the types of coughs?

A
  1. Dry (nonproductive)

2. Chesty (wet sounding and productive)

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7
Q

What are some exclusions?

A
  1. Lasts >7days
  2. Thick secretions
  3. <4 yrs old
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8
Q

What are some non-drug measures for coughing?

A
  1. Non-medicated lozenges
  2. Humidifiers
  3. NS nasal solution
  4. Adequate hydration
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9
Q

Who cant use antitussives?

A

<2 yrs old

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10
Q

(T/F) Codeine could be sold as a non-rx drug (behind the counter)

A

True, just not in Texas

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11
Q

MOA of Codeine (cough)

A
  1. Acts on brainstem

2. Increases threshold for cough

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12
Q

What are the side effects for all the RX for cough?

A

N/V

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13
Q

Which RX has become abused in the last 15 yrs?

A

Dextromethorphan

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14
Q

Diphenhydramine is a (first/second) generation anti-histamine

A

first

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15
Q

(T/F) A first gen anti-histamine is a muscarinic receptor antagonist that will dry secretions

A

True

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16
Q

Chlophedianol is a (first/second) generation antihistamine

A

first

17
Q

(T/F) The efficacy of camphor and menthol ointments, lozenges and inhalation is good

A

False, Unclear if benefit is due to placebo effect

18
Q

(T/F) Codeine is an antitussive

A

True

19
Q

(T/F) Codeine is a protussive

A

False

20
Q

(T/F) Chlophendianol is a protussive

A

False

21
Q

(T/F) Guaifenesin is an antitussive

A

False

22
Q

(T/F) Dextromethorphan is an antitussive

A

True

23
Q

(T/F) Diphenhydramine is an antitussive

A

True

24
Q

(T/F) Guaifenesin is usually not recommended

A

True