Final exam final lecture

Question 1

How to differentiate between cold and flu

Answer 1

Cold-
Gradual onset of symptoms
Sneezing, stiffy nose, sore throat

Flu-
Abrupt symptom onset
fatigue, weakness, h/a, fever

Question 2

What are exclusions for self treatment

Answer 2

Fever>101.5
worsening or new symptoms during self treatment
comorbidities

Question 3

What are the 5 symptoms that we can treat in cold/flu

Answer 3

Rhinorrhea
Congestion
cough
Headache
sore throat

Question 4

classify coughs

Answer 4

Productive- wet or chesty (facilitates ventilation and ability of lungs to resist ifection)
non-productive- dry or hacking (no secretions)

Question 5

cough exclusions for self treatment

Answer 5

children less than 4 years old
worsening cough
drug associated cough (lisinopril)

Question 6

non pcol treatment for coughs

Answer 6

Adequate fluid intake
nasal irrigation
increased humidification
adequate rest

Question 7

pharmacologic treatments for cough

Answer 7

Expectorants
cough suppresants
decongestants

Question 8

Name expectorant drugs for cough

Answer 8

Mucinex (guaifenesin)
robitussin

Question 9

Name cough suppressants

Answer 9

delsym (dextromethorphan)
Codeine (robitussin)
camphor (vicks vapirub)

Question 10

name decongestant drugs

Answer 10

Phenylephrine (sudafed PE)
Pseudoepedrine (sudafed)

Question 11

What is a contraindication to phenylephrine (sudafed) and pseudoephedrine (sudafed)

Answer 11

NOT TO BE USED IN PREGNANT WOMEN

Question 12

Other pharmacologic treatments for cough

Answer 12

Honey, lozenges, chloraseptic spray

Question 13

Consideration in diabetic patients when selling OTC

Answer 13

Diabetics will need sugar free products labeled diabetic or DM

Question 14

What medications to use when patient has productive coughs? what about if there is post-nasal drip

Answer 14

Guaifenesin (mucinex) 1200 mg BID
If post nasal drip use decongestant+antihistamine or intranasal corticosteroid

Question 15

What medications to use if patient has non productive cough

Answer 15

dextromethorphan ER 60 mg BID

Question 16

productive cough treatment for pediatric oatients

Answer 16

Guaifenesin 100 mg Q4H
consider a lot of fluids

Question 17

Non productive cough treatment for pediatric patients

Answer 17

Honey for children aged 2 and up
dextromethorphan 5 mg Q 4H for children 4 and up

Question 18

Nasal decongestant therapies are not used in which trimester of therapy

Answer 18

1st

Question 19

Name pharmacologic treatments of Nasal congestion

Answer 19

Oral decongestants
Nasal decongestants

Question 20

Name oral decongestants

Answer 20

Phenylephrine (sudafed)
pseudoephedrine (sudafed)

Question 21

Name nasal decongestant drugs

Answer 21

Levomethamphetamine (vicks vapoinhaler)
oxyetazoline (afrin)

Question 22

What is the problem of afrin when used for more than 3 days

Answer 22

rebound congestion

Question 23

compare nasal and oral decongestants

Answer 23

nasal- fast relief, not systemically absorbed, rebound congestion likely

Oral decongestion- Less rebound congestion, worsen BP/HR, can cause sleeplessness

Question 24

adverse reactions of oral decongestants

Answer 24

HTN, CAD, BPH, glaucoma, thyroid disorders

Question 25

FIrst gen vs second gen for rhinorrhea

Answer 25

First gen is better for rhinorrhea and nasal congestion (they all end with -amine)

Question 26

side effects of antihistamines

Answer 26

Dry mouth, blurred vision, difficulty urination, constipation, Dizziness

Question 27

rhinorrhea in adult treatemnt

Answer 27

If cold related- first gen anti histamines +/- decongestants

Question 28

Rhinorrhea in pediatric patients treatment

Answer 28

There is paradoxical rxn to diphenhydramine

Question 29

are antihistamines and ICS safe during pregnancy

Answer 29

Yes, they will be present in breast milk

Question 30

T/F combo products often contain more ingredients than are needed

Answer 30

True

Question 31

what is a contraindication to pseudoephedrine

Answer 31

Hypertension

Question 32

If symprtoms have been worsening iver days with treatment always

Answer 32

Refer, not eligible for self care

Question 33

6 Exclusion for self treatment for warts

Answer 33

Suspicion growth is not a wart many warts diabetes weakened immune system Warts that hurt, burn or bleed warts on face or genitalia

Question 34

How is head louse transmitted?

Answer 34

transmission requires direct contact

Question 35

Name treatments of lice

Answer 35

Rid (pyrethin + piperonyl butoxide) (does not kill unhatched eggs) (must be repeated in 7-10 days) age 2 and up Nix= permethrin Needs repeated in7-10 days age 2 MONTHS and up SHAMPOO only no conditioner, rinse in sink. Not shower.

Question 36

pharmacologic hemorrhoids treatment

Answer 36

Anesthetics -dibucaine or pramoxine Astringents -witch hazel, corticosteroids HCTZ 1% in cream Vasoactive agents phenylephrine topical treatment

Question 37

What is the use of each ingredient in treating hemorrhoids

Answer 37

Astringents(witch hazel)- dries, soothes, relieves irritation Corticosteroids (HCTZ)- relieves itching Vasoactive agents (Phenylephrine)- shrinks tissue to relieve discomfort

Question 38

Which supplements increase risk of bleeding

Answer 38

4G's Garlic, ginger, ginseng, ginkgo biloba

Question 39

St johns wort drug interaction with

Answer 39

Warfarin

Question 40

A patient wanting to strat (or already started) st johns wort is an acute concern due to inhibition of warfarins therapeutic effect (T/F)

Answer 40

true

Question 41

Use of garlic supplements

Answer 41

HLD, HTN, T2D

Question 42

Use of ginger supplements

Answer 42

Nausea and vomiting

Question 43

ginseng supplement use

Answer 43

energy supplement

Question 44

use of st johns wort

Answer 44

Treatment of minor-moderate depression

Question 45

use of cranberry juice

Answer 45

PREVENTION of UTI

Question 46

SAW palmeto supplement use

Answer 46

BPH