upper respiratory

Question 1

pseudoephedrine

Answer 1

shrink the nasal mucous membrane by stimulating the alpha adrengic receptors in the nasal mucous membranes, acting on the vessels to constrict them
temporary relief of cold symptoms, nasal congestion, reduce local blood flow before nasal surgery
rebound congestion, sympathetic effects, urinary retention
check OTC cold preparation to make sure not taking double
do not crush extended release
safety measure to prevent falls
assess HR, BP, and cardiac response
encourage use of cool humidifier, fluids, coo l environment

Question 2

dextromethorphan

Answer 2

surpresses the cough reflex acts directly on the medullary cough center of the brain to depress the cough reflex
dry, hacking non productive cough
drying effect on the mucous membranes, CNS adverse effects and GI upset
history and physical exam and history of allergy
temp, resp, adventitious sounds
orientation and affect
avoid eating or drinking for 30 min
monitor the patient for adverse effects and therapeutic response
encourage use of cool humidity, fluids and lozenges