56 - Viral Rhinitis Flashcards Preview

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Flashcards in 56 - Viral Rhinitis Deck (20):
1

Viral rhinitis is AKA the ____ ____

common cold

2

Will resolve untreated in ___ days

7-10

3

non-pharms

-prevent spread
-wash hands
-maintain usual intake
-rest

4

do not use ______ for the common cold

antibiotics

5

use what for pain/fever

ibuprofen or acetaminophen

6

How do anticholinergic agents work (ex. intranasal ipratropium)

block cholinergic-mediated vasodilation

7

What are anticholinergic agents good for?

rhinorrhea and relief of sneezing but not congestion

8

Why are 2nd gen antihistamines not effective?

because they have no anticholinergic activity so there is no evidence for them to control rhinorrhea

9

Decongestants (_____ agonists) will help with congestion and improve rhinorrhea

alpha

10

who are decongestants approved for

> 12 yo

11

Which decongestant is better?

pseudoephedrine > phenylephrine

12

Prolonged use of topical nasal decongestants is associated with ?

rebound congestion

13

Only when is vitamin C effective?

if exposed to extreme physical stress (marathons, arctic expeditions) Need 1g/day to prevent a cold

14

Is vitamin D effective?

no

15

___ may decrease duration but s/e such as bad taste and nausea prevent use

zinc

16

Do not use menthol or camphor rubs in kids under ___

2 years old

17

Is cold-fx (ginseng) recommended?

can decrease duration of symptoms but have to take daily x 4 months, can cause GI side effects

not enough evidence to recommend

18

don't use cough and cold products in kids under ___ yo

6

19

Pregnancy:
Avoid oral ____ in 1st trimester

decongestants

20

Pregnancy:
What should you avoid?

-vitamin C bc you need such high dose
-cold-fx (ginseng)
-zinc, echinacea

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