OTC primer Flashcards
Never ask “if this product for you?”
Instead: ___
who is this product for
avoids yes or no questions
highlights of a cold
* ___ onset
* sneezing, ___ nose, ___ throat
- gradual
- stuffy, sore
highlights of the flu
* ___ onset
* fatigue, weakness, headache, ___
- abrupt
- fever
refer if
* fever above ___
* worseneing or ___ symptoms develop during self treatment
* comorbidities
- 101.5 F
- new
cough referal
- children less than ___ yo
- ___ associated cough
- worsening cough
- hemoptysis: coughing up ___
- 4
- drug
- blood
decongestants:
* ___ = Sudafed PE
* pseudoephedrine = ___
- phenylephrine
- Sudafed
mucolytics:
___ = Mucinex and Robitussin
guaifenesin
T or F: 2nd Gen antihistamines work better, but they cause drowsiness
False; 1st Gen
Productive cough with post nasal drip, consider use of decongestant + __ or intranasal corticosteroid
antihistamine
non-productive cough
treatment
- DM ER 60 mg BID
- lozenges, spray
nasal congestion
- oral decongestants: ___ and ___
- nasal decongestants: levomethamphetamine
___ and oxymetazoline __ - intranasal saline is prefered for ____ and ___ patients
- Sudafed and Sudafed/PE
- Vicks VapoInhaler and Afrin
- pediatric and pregnant
Afrin has rebound congestion
T or F: avoids oral decongestants during the 3rd trimester of pregnancy
FALSE; avoid during 1st trimester
Nasal decongestants carry same risk, with less exposure; short term?
Rhinorrhea
1st and 2nd gen antihistamines: general side effects
cant see, pee, spit…poop
- dry mouth
- blurred vision
- difficult urination
- constipation
- dizziness
dont recommend to patient with BPH or glaucoma or elderly
T or F: antihistamines are present in the breastmilk
True; if lactating use caution, low dose, and short ter,
T or F: combo products often contain more ingredients than are needed
True
Wart referal
- suspicion that growth is not a __
- warts on ___ or ___
- many warts
- warts the hurt, itchy, ___, or ___
- ___ immune system
- diabetes
- wart
- face or genitalia
- burn, bleed
- weakened
Lice Treatment
Rid - ___ and ___ butoxide
* does not kill unhatched eggs
* treatment MUST BE repeared in ___ days
* for patients __ yo or greater
- pyrethrin + piperonyl
- 7-10
- 2
Lice Treatment
Nix = ___
* likely also needs repeated in ___ days
* age 2 ___ or older
- permethrin
- 7-10
- months
T or F: You cannot use conditioner or rinse using shower when you have lice
True
Hemorrhoids: treatment
- anesthetics: ___ or ___
- astringents: ___ for soothing, drying, and relieving irritation
- corticosteroids: ___ 1% for ___
- Vasoactive agents: ___ topical ointment or supository; shrinks __ to relieve discomfort
- dibucaine or pramoxine
- witch hazel
- hydrocortisone, itching
- phenylephrine, tissue
Fish Oil Safety
- decreases ___ aggregation
- caution with ___ meds, active bleed, or ___
- platelet
- anticoagulants, PUD
Niacin (Vit B3)
- used for dyslipidemia (increase ___, decrease ___ )
- ___ occurs with 80% of patients
- side effeects with ER: increased ___ acid, elevated blood ___, and hepatotoxicity
- HDL, TG
- flushing
- uric, glucose
T or F: fish oil, garlic, ginkgo biloba, ginger, and ginseng all have a side efect for increased bleeding risk
True
(f) g, g, g, g
what medication is a big red flag when taking St. John’s Wort?
warfarin
ACUTE concern due to its inhibition of warfarin’s therapeutic effect.
T or F: cranberry is used for UTI prevention only, not treatment
True
Cranberry - Caution with ___ allergy, has small amount of
salicylic acid
aspirin
Saw Palmetto
* used for ___
* inhibits __ reductase
* dose not decrease ___ or ___
- BPH
- 5-alpha
- prostate size, PSA
Echinaceae
* decrease ___ by 1 day
* must be started at ____ of symptoms
* taken for ___ days
- uppre respiratory tract infection
- onset
- 7
