Upper Respiratory Flashcards

1
Q

Common disorders of upper respiratory:

A

— allergic rhinitis
— common cold
— sinusitis
— pharyngitis
— influenza

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2
Q

What are the clinical manifestations of upper respiratory disorders?

A

— headache
— nasal/sinus congestion
— itchy, watery eyes
— sore throat
— cough (post-nasal drip)
— body aches

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3
Q

Med caution:
What are conditions exacerbated by sympathetic activity?

A

— glaucoma
— HTN
— CAD
— PAD
— diabetes
— hyperthyroidism
— enlarged prostate

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4
Q

Med caution:
What are conditions exacerbated by anticholinergic affects?

A

— constipation
— enlarged prostate
— HTN
— tachycardia
— dementia

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5
Q

What are antitussives, what do they do?

A

Block cough reflex

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6
Q

What do decongestants do?

A

Shrink mucous membranes to allow drainage; decrease production of nasal secretions

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7
Q

What are antihistamines?

A

Block action of histamine to decrease histamine affects

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8
Q

What are expectorants?

A

Increase productive cough to clear airways

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9
Q

What is a first generation antihistamine?

A

Sedation and short duration
— Diphenhydramine (Benadryl)
*high anticholinergic effects

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10
Q

What is a second generation antihistamine?

A

Non-drowsy and long duration
— loratadine (Claritin)
— fexofenadine (Allegra)
— cetirizine (Zyrtec)

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11
Q

What is dextromethorphan? What does it do?

A
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12
Q

What is codeine? What does it do?

A
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13
Q

What is pseudoephedrine?

A
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14
Q

What is oxymetazoline?

A
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15
Q

Fluticasone:

A
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16
Q

Diphenhydramine: Benadryl

A

*first generation

17
Q

Loratadine: Claritin

A

*second generation

18
Q

Guaifenesin:

A
19
Q

The nurse is caring for a client prescribed oxymetazoline. Which assessment should the nurse perform prior to admit?
A. Lung sounds
B. BP
C. Nasal mucosa
D. LOC

A

C. Nasal mucosa
*topical nasal route
Indicated for nasal congestion

20
Q

The nurse is caring for a client prescribed intranasal fluticasone. What should the nurse include when teaching?

A

Take this medication for the shortest duration to relieve symptoms