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OTC > Exam 2 - Cough and Cold > Flashcards

Exam 2 - Cough and Cold Flashcards

1
Q

What type of infection is the common cold considered

A

Upper respiratory infection

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2
Q

All of the following are symptoms of the common cold EXCEPT:

Sore throat
Itchy/watery eyes
Runny nose
Cough

A

Itchy/watery eyes

(Itching signifies allergies)

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3
Q

2 year old Lexi has a cold. What do you recommend for her

A

Honey

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4
Q

(T/F): honey is an appropriate recommendation for all age groups of children with a cold

A

False - can’t give to children under 12 months old due to botulism spores

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5
Q

Angela is 32 years old. She has throat irritation and is congested. Which would be an appropriate treatment?

Nasal congestion - antihistamine
Runny nose - expectorants
Sore throat - topical anesthetics
Cough - decongestants

A

Sore throat - topical anesthetics

(Like chloraseptic)

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6
Q

A patient with a cold should seek medical attention if symptoms do not improve in what timeframe

A

7-14 days

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7
Q

Which factors differentiate the flu from a cold

A

Aches
Chills
Sudden onset

(Aches are the main one)

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7
Q

Which symptoms should be exclusions for common cold OTC treatment? (SATA)

A fever > 100.4
Allergic to AI in OTC products
Shortness of breath
Sore throat

A

Fever > 100.4
Allergic to AI in OTC products
Shortness of breath

(Sore throat is not because it is a common, and the first, symptom of a cold)

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8
Q

How does initial nasal discharge from a cold present

A

Clear/watery

(Yellow or green later on)

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9
Q

What symptom is the main differentiator between allergic rhinitis and the common cold

A

Itchy/watery eyes

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10
Q

Nate is a 3 year old boy w/ nasal congestion. What nonpharmacologic recommendations can you make?

A

Humidifier
Vicks vapo rub

(For cold, use humidifier)

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11
Q

Can you use tap water in a neti pot?

A

ONLY if you boil it first

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11
Q

Which cold symptoms and OTC class are matched correctly? (SATA)

Rhinorrhea & sneezing - antihistamine

Cough - antitussive

Malaise, myalgia - decongestant

Low grade fever - analgesic

Sore throat - anesthetic

Nasal congestion - antihistamine

A

Rhinorrhea & sneezing - antihistamine

Cough - antitussive

Sore throat - (topical) anesthetic

(Malaise and myalgia would need an analgesic, low grade fever would need an antipyretic, nasal congestion would need a decongestant)

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12
Q

Zefrex-D contains which AI

A

Pseudoephedrine

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12
Q

Sudafed PE contains what AI

A

Phenylephrine

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12
Q

Mucinex-D contains which AIs

A

Pseudoephedrine and guaifenesin

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13
Q

Aleve-D sinus and cold contains which AIs

A

Pseudoephedrine and naproxen

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14
Q

Is phenylephrine or pseudoephedrine MORE bioavailable

A

Pseudoephedrine

(Because PE doesn’t work and PSE does)

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15
Q

Mary is taking fluoxetine for anxiety and is wanting to by sudafed. What should you counsel her on?

A

Sudafed could increase her HR

(Think anxiety heart racing - also because serotonin)

16
Q

How long can patients use oral decongestants? How long can they use nasal decongestants?

A

Oral: no more than 7 days
Nasal: no more than 3 days

17
Q

The use of PSE in pregnancy is especially dangerous in what trimester

A

1st

(Because this is when organ development occurs)

18
Q

Donna has controlled HTN. Which decongestant would be SAFEST for her to use

A

Phenylephrine

18
Q

Which of the following products are likely to result in a fast heart beat and/or restlessness

Claritin
Sudafed
Chlorpheniramine
Cepacol
Allegra-D
Alavert-D

A

Sudafed
Allegra-D
Alavert-D

(Because they all contain PSE)

19
Q

(T/F): a child could present with a fever of 100.4 with a common cold

A

True

(ABOVE 100.4 is the exclusion)

20
Q

Julia comes in with her 3 year old and asks for cough medicine. What should you suggest?

A

Ask if her pediatrician has recommended cough medicine

(Cough and cold products should not be used in children under 6 years old without dr recommendation)

20
Q

Which product should you recommend when your patient is sneezing and has a runny nose?

Nasal decongestant
Mucinex
Zyrtec
INCS

A

Zyrtec

(because it’s an antihistamine and the pt is showing symptoms of allergic rhinitis)

21
Q

What factors lead to the misuse of OTC cough and cold products in children

A

Many combination products
Dosing inaccuracies
Wrong formulation

(Combo products can get confusing and duplicate therapy may accidentally occur; wrong formulation occurs due to brand name recognition, but the AI may be different)

22
Q

(T/F): a mother is having trouble getting her 5 year old to sleep. Benadryl is an appropriate recommendation

A

False - you shouldn’t drug children to make them sleep

22
Q

Which OTC product is appropriate for a 2 year old with a cold to help them feel more comfortable

Acetaminophen
Mucinex
Benadryl
Naproxen

A

Acetaminophen

23
Q

Megan is pregnant and wants relief from her cold. What can you suggest

A

Hydrate
Humidifier
Salt gargles

(Pregnant patients should always try nonpharmacologic therapy first)

24
Q

(T/F): a collegiate cross country runner needs relief from congestion. You can recommend sudafed

A

False - using PSE in college sports is considered doping

25
Q

Which antihistamine is first line treatment for allergic rhinitis in pregnancy

A

Chlorpheniramine

(Chlor-trimetron - “trime” like trimester)

26
Q

Vicks vapo inhaler has what AI

A

Levmetamfetamine

(People can use the whole thing at once to get high so think amphetamine)

27
Q

What schedule is Robitussin-AC

A

CV

(Because it is codeine in a liquid form)

28
Q

Robitussin-DM has which AI

A

Dextromethorphan

28
Q

Which OTC could you recommend for sore throat

A

Cepacol (topical anesthetic)

29
Q

Mucinex AI

A

Guaifenesin

30
Q

Mucinex class

A

Expectorant

31
Q

Dextromethorphan class

A

Antitussive

32
Q

Jeff presents with a dry, hacky cough. What should you recommend?

A

Robitussin-DM

(Use an antitussive because it isn’t a productive cough - use expectorants for productive cough)

33
Q

Mallory presents with a wet, chesty cough. What should you recommend?

A

Guaifenesin

(Expectorant to loosen the crap she’s trying to cough up since it’s a productive cough)

34
Q

Sheila has a runny nose, low-grade fever, irritated throat, and congestion. What does she have?

A

Common cold

(Has no indications that this could be flu or allergies)

34
Q

Jason says he has not been able to sleep because his cough is keeping him up. What do you recommend?

A

Robitussin AC

(Because the codeine will help him sleep and it has an antitussive)

35
Q

Morgan has nasal congestion, itchy eyes, swelling around the eyes, and post nasal drip. What does she have

A

Allergic rhinitis

(Big giveaway are the itchy eyes)

36
Q

Young Nick has a cough that sounds like a bark, pharyngitis, and a fever. What does he have?

A

Croup

(barking cough = croup)

37
Q

What is the AI in ZzzQuil

A

Diphenhydramine

37
Q

Natalie has a fever, backache, runny nose, and a dry cough. What does she have?

A

Flu

(Aches are the giveaway)

OTC (31 decks)

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