Module 4 - Common Cold and Flu

Question 1

• Approach to the Common Cold

Answer 1

• GOOD history and physical
• Differentials: flu, allergy, strep
• Expectations: not treatable by abx bc viral
• Reassure:
• Express sympathy:
• Educate: big key for reducing abx resistance
• Offer symptomatic relief:

Question 2

• Tertiary Prevention of Common Cold

Answer 2

Symptoms relief
- rest, fluids
- clean humidifier or cool mist vaporizer
- avoid smoke/second hand and other pollutants

Decongestants
(pseudoephedrine)
- avoid in uncontrolled hypertension, glaucoma, enlarged prostate
look at frequently asked questions in readings

Question 3

• Treatment of Cough

Answer 3

• avoid dextromethorphan when using an MAOI inhibitor and caution with SSRI, tramadol (especially if high doses or multiple)
• avoid corticosteroids
• avoid albuterol unless bronchospasm