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Vanessa respiration ppnp > cough and cold meds > Flashcards

cough and cold meds Flashcards

1
Q

what is the first generation of H1 antihistamine acalled?

A

promethazine

and triprolidine

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2
Q

what are the side effect of H1 antihistamine ?

A

sedation and movement across the blood brain barrier

elderly more susceptible to sedation
may cause dementia
contra in narrow angle glaucoma

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3
Q

what is the 2nd generation H1 anti histamine med called ?

A

cetrizine (little sedation)

loraradine and fexfenadine (non sedating)

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4
Q

what is the mast cell stabalizer ?

A

cromoglilic acid

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5
Q

what are the adverse effect of mast cell stabilizer ?

A

dry mouth
nasal and throat irritation
unpleasant taste

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6
Q

what is the mucoregulator ? SAMA

A

ipatrpium

decrease hypersecretion of mucus

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7
Q

what are the antiinflammatory med (nasal corticosteroid)?

A

fluticasone (rose water taste)

mometascone

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8
Q

what are the decongestant medication ?

A

direct and indirect

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9
Q

what are the direct medication for decongestants ?

A

phenylephrine

alpha1 selective

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10
Q

what are the indirect medication for decongestants ?

A

pseudoephririne

release of adrenaline

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11
Q

what are the side effects of decongestants?

A

hypertension

tachcardia

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12
Q

what are the opioid antitussive medication?

A

codeine

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13
Q

what is the fucntion of opiod antitussive ?

A

acts on cns for non productive cough

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14
Q

what is the side effect of opioid antitussive?

A

sedation
addiction
respiratory depression

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15
Q

who are contra for opioid antitussive?

A

under 18
respiratory insufficiency
cannot combine w other cns depressant medication

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16
Q

what are the antitssive medication?

A

diphenhydramine

dextromethorphan

17
Q

whic noon opiod antitussive causes sedation?

A

diohenhydramine

dextro (least likely)

18
Q

who is dextro contraindicated for?

A

children below 4

19
Q

what is the safest medication for elderly for non productive cough?

20
Q

what is the first line drug for productive cough?

A

expectorants (guaifenesin)

21
Q

what is the mehcenism of guafenesin ?

A

it is to promote coughing to expel phlegm

liquidify phlegm

22
Q

what is contra for guafenesin?

A

caution children under 6
not for children under 2

not for asthma

23
Q

what are the add on medication for productive cough?

A

actylcytesine (lower mucous viscosity)

bromhexine (increase cillary beat frequency)

24
Q

all productive cough are not for?

25
Q

what is the side effect of acetylcystine ? and contra

A

bronchospasm

not for asthma and eldlery

26
Q

who are the contra for bromohexine ?

A

asthma and peptic ulcer

caution chuldren under 6
not for children under 2

27
Q

waht is bromohexine good for too?

A

sorethroat

Vanessa respiration ppnp (6 decks)

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