cold allergies Flashcards

1
Q

allergic rhinitis is caused by

A

exposure to allergen

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2
Q

nasal irrigation require what kind of water

A

distilled, sterile, or previously boiled

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3
Q

firstline treatment for moderate-severe allergy symptoms

A

intranasal steroids

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4
Q

preferred nasal steroids in pregnancy

A

budesonide, beclomethasone

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5
Q

antihistamines have little effect on

A

nasal congestion

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6
Q

what are the first generation antihistamines

A

benadryl, chlorpheniramine, doxylamine, clemastine, carbinoxamine

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7
Q

who should not receive first gen antihistamines

A

elderly, <2yo

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8
Q

use first gen antihistamines with caution if patient also has

A

prostate enlargement, glaucoma

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9
Q

major side effects of first gen antihistamines

A

somnolence, cognitive impairment, anticholinergic side effects

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10
Q

what are the anticholinergic side effects

A

dry mouth, blurry vision, urinary retention, constipation

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11
Q

first gen antihistamines may also cause which type of sensitivity

A

photo

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12
Q

which antihistamines are second gen

A

cetirizine, levoceterizine, fexofenadine, loratadine, desloratadine

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13
Q

levocetirazine (xyzal) is contraindicated in

A

ESRD (CrCl <10mL/min), hemodialysis, infants and children 6mo-11y with renal impairment

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14
Q

fexofenadine should not be taken with

A

fruit juice

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15
Q

preferred 2nd gen antihistamines in pregnancy

A

loratadine, cetirizine

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16
Q

which second gen antihistamines are the least sedating

A

fexofenadine, loratadine

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17
Q

which second gen antihistamines are the most sedating

A

cetirizine, levocetirizine

18
Q

which antihistamines are given intranasally

A

azelastine, olopatadine

19
Q

what is a major side effect of azelastine

A

bitter taste

20
Q

phenylephrine is given in what route

A

intranasal

21
Q

when should oral decongestants be avoided

A

first trimester of pregnancy

22
Q

what are some major SE of Sudafed

A

CV stimulation, insomnia, dec appetite

23
Q

According to the package label, systemic decongestants must be avoided in which population

A

<4 yo

24
Q

oral decongestants must be used with caution in patients with which disease states

A

CVD, BPH

25
Q

major side effect of Afrin

A

rhinitis mmedicamentosa

26
Q

what are the limits for sale of sudafed and related products

A

3.6 g/day, 9 g/month

27
Q

what is the MOA od NasalCrom

A

mast cell stabilizer

28
Q

major counseling point for IN cromolyn

A

use regularly NOT prn

29
Q

MOA of IN ipratropium for allergic rhinitis

A

nasal dryness

30
Q

long-term use of zinc may cause

A

copper deficiency

31
Q

T/F: vitamin C may prevent a cold

A

F; no efficacy for prevention but may dec duration

32
Q

which natural products are considered possibly effective for colds

A

zinc, echinacea, vitamin C

33
Q

benzonatate MOA

A

topical anaesthetic on respiratory stretch receptors

34
Q

the FDA recommends avoiding codeine-containing cough medications for which population

A

<18yo

35
Q

major counseling point for tessalon pearles

A

do not swallow

36
Q

codeine contraindications

A

<12yo, <18yo after tonsillectomy or adenoidectomy

37
Q

age restrictions on OTC cough and cold medicine

A

<4yo

38
Q

promethazine use inchildren < 2yo may cause

A

fatal respiratory depression

39
Q

camphor and menthol should not be used in which population

A

<2yo

40
Q

products containing phenylalanine must be avoided if you have

A

phenylketonuria