Dry Cough Flashcards

1
Q

Do dry coughs require a counselling room?

A

No

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2
Q

What are 11 red flags for referral with dry coughs?

A
  1. Refer patients who have not yet received a COVID test
  2. Persistent fever
  3. Respiratory noises
  4. Shortness of breath
  5. Discoloured sputum
  6. Pain on inspiration
  7. Chest pain
  8. Suspected adverse drug reaction
  9. Persistent nocturnal cough
  10. Patient taking a medication which may cause dry cough (such as an ACE Inhibitor)
  11. Cough > 2 weeks and not improving
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3
Q

Do dry coughs have a PSA self-care card?

A

Yes (Cold and Flu)

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4
Q

What is the preferred treatment option for dry coughs?

A

Duro-Tuss Dry Cough Forte (pholcodine 15mg/5mL)

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5
Q

What are the directions for Duro-Tuss Dry Cough Forte (pholcodine 15mg/5mL) for dry coughs in adults and children over 12 years?

A

5 mL FOUR times daily

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6
Q

What are the directions for Duro-Tuss Dry Cough Forte (pholcodine 15mg/5mL) for dry coughs in children aged 6 to 11 years?

A

2.5 mL FOUR times daily

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7
Q

What are 2 non-preferred options for dry coughs and why?

A
  1. Rikodeine (Dihydrocodeine 19mg/10mL): subject to abuse, greater risk of adverse effects
  2. Bisolvon Dry (dextromethorphan 10mg/5mL): subject to abuse, risk of serotonin syndrome
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8
Q

Is Duro-Tuss Dry Cough Forte (pholcodine 15mg/5mL) safe in pregnancy?

A

Yes

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9
Q

Is Duro-Tuss Dry Cough Forte (pholcodine 15mg/5mL) safe in breastfeeding?

A

No

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10
Q

Is Duro-Tuss Dry Cough Forte (pholcodine 15mg/5mL) safe in diabetics?

A

Yes

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11
Q

What is a precaution associated with Duro-Tuss Dry Cough Forte (pholcodine 15mg/5mL)?

A

It may be sedating

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12
Q

What is the age range for Duro-Tuss Dry Cough Forte (pholcodine 15mg/5mL)?

A

Safe in children over 6 years

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13
Q

What are 5 pieces of non-pharmacological advice for dry coughs?

A
  1. Rest (reduce voice use).
  2. Increase fluid intake as this will prevent dehydration and help to thin mucus.
  3. Discourage smoking.
  4. Demulcents (simple linctus, lemon and honey) can relieve irritation that causes coughing by forming a film over mucous membranes
  5. Honey not recommended in children under 12 months due to risk of botulism.
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14
Q

What is the cause of most dry coughs?

A

Most dry coughs are caused by a viral infection and are self-limiting.

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15
Q

How long do most dry coughs last for?

A

Most dry coughs resolve within 7 to 10 days.

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16
Q

What are 3 contraindications of opioid cough suppressants?

A
  1. Asthma
  2. COPD
  3. Respiratory failure.
17
Q

What is a precaution of cough suppressants?

A

Avoid using opioid cough suppressants in productive cough as this may lead to respiratory infection.

18
Q

What is the preferred treatment of dry cough in children under 6 years?

A

A demulcent (simple linctus, lemon and honey) is preferable and may help in children < 6 years.

19
Q

What may a recurrent night-time cough indicate?

A

Asthma (especially in children)