Exam 3: Common Cold

Question 1

Common cold may be caused by several viruses, most commonly ___

Answer 1

rhinovirus

Question 2

Common cold pathophysiology

Answer 2

Virus infects respiratory epithelial cells, release chemokines and inflammatory mediators (casuses symptoms)

Question 3

Cold vs Flu

Answer 3

Flu symptoms

• more sudden onset
• less nasal symptoms
• higher fever
• extreme tiredness
• dry cough
• aches and chills common

*flu peaks in feb (can start oct - may)

Question 4

Complications of untreated cold

Answer 4

Sinusitis
Eustachian tube obstructions (ear infxn)
bronchitis, bacterial pneumonia
asthma or COPD exacerbations

Question 5

T/F: Pt with a cold and a fever >101.5 can self treat

Answer 5

False - fever <101.5 is a self-care exclusion

Question 6

T/F: An infant that is 6 months old can be self treated for cold

Answer 6

False - infants <9 months old cannot be self treated for cold

Question 7

Non-pharmacologic therapy

Answer 7

Non-caffeinated fluids (unless restricted)
Adequate rest
Nutritious diet
cool mist vaporizers
Steam showers
Saline gargle
Nasal irrigation/saline spray

Question 8

Benzocaine+menthol medication examples

Answer 8

Chloraseptic lozenges

Cepacol

Question 9

Dyclonine HCl Brand

Answer 9

Cepacol sore throat spray

Question 10

Dyclonine ADE

Answer 10

Rash, hives

Question 11

Benzocaine ADEs

Answer 11

Methemoglobinemia warning

Question 12

Benzocaine counseling points

Answer 12

avoid in pts w allergy to local anesthetics

do not use longer than 2 days

Question 13

Dyclonine HCl counseling points

Answer 13

counsel pts to avoid swallowing

Do not use longer than 2 days

Question 14

Treating cough from common cold

Answer 14

Evidence does not support effectiveness of antitussives, exportants, or 2nd gen for symptoms of common cold

Most likely cause of cough = UACS, 1st gen antihsitamine and decongestant may be effective

Question 15

Treatment: OTC

Answer 15

Echinacea, Zinc, Vit C, Airborne, Emergen-C, Immune+