OTC Flashcards
3 complimentary nausea treatments
Chamomile, ginger, and peppermint oil
What to eat if nausea / vomiting from stomach bug
BRAT diet
70 year old male with bph wants runny nose relief: what drug?
Nasal steroid
67 year old with glaucoma needs runny nose relief, which drug?
Nasal steroid
Breastfeeding mom needing runny nose relief:
Nasal steroid
What drug class should be avoided in BPH, lactation, and glaucoma?
Antihistamines
Echinacea indication:
Common cold
Patients on a PPI should take which calcium supplement?
Citracal
Co-Q-10 is used for
Heart disease
CoQ10 dose and frequency
100 mg 1 to 3 x daily
Vitamin d RDA ages 0-1
400 iu
Vitamin d RDA ages 1-70
600 iu
Vitamin d RDA ages 70+
800 iu
Vitamin d osteoporosis prevention dose
1000 iu
Name 3 stimulant laxatives
Castor oil, senna, and bisacodyl
Topical butenafine and terbinafine age limit
12 years old and up
Clotrimazole, undecylenic acid, and tolnaftate a topical age limit
2 years old and up
Black cohosh 4 indications (SATA)
PMS, dysmenorrhea, dyspareunia, menopause, and rheumatoid arthritis
PMS, dysmenorrhea, menopause, and rheumatoid arthritis
Evening primrose indications (SATA):
PMS, menopause, preeclampsia, neuropathy, and atopic dermatitis
All
Explain Sudafed interaction with BPH
Elevated NE and EPI leads to decreased ability to relax urinary tract sphincter leads to decreased urination
List 2 bulk forming stool agents
Methyl cellulose, polycarbophil, and psyllium
A mixture of thyme and ivy in solution has been shown to reduce severity of ____ in patients with _____
Cough, bronchitis
Astaxanthin otc use
Antioxidant
Lutein indication
Prevention of macular degeneration
Fenugreek indications:
Cholesterol, diabetes, and lactation stimulation
Antihistamine MOA for treating motion sickness
Suppress histamine signaling from vestibular apparatus to medullary vomiting center
Name 2 colonic hyperosmotics
Polyethylene glycol and glycerin
Orlistat MOA
Reduce fat absorption
Adapalene otc age limit
12 years
Use differin in pregnancy?
No
Vinegar effect in diabetes
Increases post meal insulin sensitivity
Calcium RDA in adults: women 51+ and men 70+
1000 mg
1200 mg
Elemental iron amounts:
Ferrous sulfate: ___%
Fumarate ____%
Gluconate ___%
20
33
12
Iron RDA males
8 mg
Iron RDA females:
Age 14-18:
19-50:
50+:
Pregnant:
Breastfeeding:
15 mg
18 mg
8 mg
27 mg
9 mg
Niacin MOA:
___ HDL
___ TG’s
___ LDL
Increases
Decreases, decreases
Niacin max daily dose
8 grams
Youngest age for Flonase use
2
Youngest age for famotidine and tums use
12
Youngest age for magnesium citrate use
6
Youngest age for guaifenesin use
4
Youngest age for loperamide use
6
Youngest age for dextromethorphan use
4
Youngest age for PPI use
18
Drug of choice for corneal edema treatment otc
Muro
Drug of choice for constipation in 2-5 year olds
Glycerin suppository
Drug of choice for constipation in 6+ year olds
Miralax
Saw palmetto indication
BPH
Daily dose of folate in pregnancy
400 mcg
Daily dose of folate in deficiency
1 mg
Should iron be take with food?
Better absorption without food. Take with vitamin c
Metformin ____ oral B-12 absorption
Decreases
How does cinnamon help in diabetes?
Decreases A1C by 0.8%
Onset and duration of H2RA
1 and 4-10 hrs
Onset and duration of PPI
2-3 and 12-24 hrs
What can be used for a food overindulgence in a patient with CKD and a salicylate allergy?
Emetrol
What is topical coal tar used for?
Dandruff
What is topical selenium sulfide used for?
Dandruff
What is pyrithione zinc used for topically?
Dandruff
Moderate diarrhea is ___% BW loss
3-9
Severe diarrhea is >___% BW loss
9
List 3 patient types that should see doctor if they have diarrhea
Diabetes, severe CVD, <6 month old, renal disease, and pregnancy
How much pedialyte to drink during moderate diarrhea: ___ liters over 3 hours and replace losses
2-4
How long can pepto bismol or loperamide be used for diarrhea?
48 hours
Iron supplement dose for breastfed infant daily: ___mg/kg
1
Iron supplement dose in formula fed infant daily: ___mg/Liter of formula
12
Iron supplement dose needed daily in pre term breastfed infant: ___mg/kg first 12 months
2
Iron supplement dose daily in formula fed pre term infant: ___mg/liter of formula
14.6
2 Saffron uses OTC:
Antioxidant, sedative, and expectorant
2 selenium oral otc uses
Cancer prevention, heart disease, cognitive decline, thyroid disease
What should pregnant ladies use for heartburn otc?
See Dr.
Describe role each system plays in sending signals to the vomiting center of the medulla:
Chemoreceptor trigger zone:
Vestibular apparatus:
Cerebral cortex:
Viscera:
Responds to toxins
Motion and body position
Sight, smell, memory, anxiety
Gut distention
Benadryl dosing for 2-6 year olds (fda label says not to use till 6)
6.25 mg every 4 hours
1st line for Nausea/Vomiting in pregnancy?
Diclegis (doxylamine and pyridoxine)
When to use pepto bismol in nausea in pregnancy
Never
2 ginkgo indications
Dementia and interstitial cystitis (bladder pain)
At what temp should a child see doctor?
101
What temperature is an emergency for a child?
105
Preferred nasal steroid in pregnancy:
Budesonide or beclomethasone
Sudafed max daily dose
Adult:
240 mg
Sudafed max daily dose age 6-12:
120 mg
Sudafed max daily dose age 4-5:
60 mg
Primary side effect of guaifenesin
Nausea
Codeine boxed warning
Respiratory depression and death in children following tonsillectomy plus cyp2d6 ultra rapid metabolizers
Benzonatate MOA
Topical anesthetic
Dextromethorphan and codeine cough suppression MOA
Suppress medullary cough center
Promethazine contraindicated in children under ___
2
Codeine not recommended for use under age ___
18
Tylenol children’s dosing: ___mg/kg per dose every ___ hrs
10-15 every 4-6 hours
Ibuprofen max dosing in children: ___mg/kg every ___ hours
10 every 6
Avoid benzonatate in age <
10
Can breastfeeding women take Benadryl?
No
Dextromethorphan max daily dose:
Adult:
120 mg
Dextromethorphan max daily dose age 6-12
60 mg
Dextromethorphan max daily dose age 4-6
30 mg
Dextromethorphan main 2 side effects
Nausea and drowsiness
Coricidin cold and flu ingredients:
Chlorpheniramine and tylenol
Coricidin HBP chest ingredients
Guaifenesin and dextromethorphan
Sambucol indication
Cold
Sambucol efficacy according to Australia study:
Reduce cold symptoms from 6.8 days to 4.7 days
Sambucol ingredient
Elderberry
What emollient needs to be washed off at every diaper change because it causes clogged pores and increases infection risk?
Mineral oil
When to use hydrocortisone 0.5% and / or clotrimazole creams for diaper rash: greater than ___ days with bad rash
2
How often to apply zinc oxide when changing diapers?
Every change
Why does boudreaux’s butt paste have to be washed off at every diaper change?
Mineral oil causes clogged pores and infection risk
How long should parents try to treat diaper rash otc?
7 days
Main 2 warnings if corn starch or talc powders are going to be used for diaper rash?
1) do not allow baby to inhale powders (breathing problems)
2) do not apply to broken skin due to infection risk or impaired wound healing
Second line for otc diaper rash treatment
Calamine
____ _____ is the most commonly used emollient for skin in diaper rash
Zinc oxide
First non drug recommendation for diaper rash
Second:
Change diaper greater than or equal to 6 times per day
Use disposable diapers
Name 2 OTC treatments for cancer med related rash
Topical steroids and antibiotics
Petrolatum jelly
Ammonium lactate
Dilute hydrogen peroxide soak (will bleach hair)
2 options for radiation dermatitis
Warm water and mild soap
Eucerin
Sunscreen with high spf
Hydrocortisone 1%
Topical Trolamine moa
Salicylate: anti inflammatory
2 options for skin fissures otc treatment
Silver nitrate
Aluminum chloride solution
Zinc oxide
Bleach soak (1/4-1/2 cup per 40 gallon bath)
Cancer treatment related skin color change treatment otc
Salicylic acid cream or wash
Non med alopecia prevention in cancer related treatment
Cooling cap
Treatment of non scarring alopecia in cancer treatment
Minoxidil
Treatment of scarring alopecia in cancer treatment
Topical hydrocortisone 0.2% shampoo or clobetasol solution
Melatonin doses by age: infant:
Older children:
Adolescents:
Infant: 1 mg
Older children: 2.5-3 mg
Adolescents: 5 mg
Domeboro indication
Astringent (rash)
Alka seltzer indication
Heartburn, upset stomach, accompanied by headache
Prebiotic definition and use
Aids beneficial microbes by short chain fatty acid production.
Postbiotic definition and use
Byproducts of probiotics. Strengthen gut barrier and modulate immunity
Prebiotic examples
Fructans (inulin and fructooligosaccharides) galactooligosaccharides
Postbiotic examples
Short chain fatty acids, polysaccharides, peptides, and cell wall components of dead bacteria