Antihistamine and Antitussives Flashcards

1
Q

how do antihistamines work?

A

they block the effects of released histamine at H1 receptor sites

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2
Q

how do antihistamines act on small blood vessels?

A

they reduce dilation of blood vessels and reduce permeability of blood vessels

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3
Q

antihistamine effects on exocrine glands?

A

reduce salivary, lacrimal and bronchial secretions

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4
Q

what does the anticholinergic effects of some antihistamines produce?

A

a drying effect

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5
Q

which type of antihistamines have anticholinergic effects?

A

traditional antihistamines such as diphenhydramine

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6
Q

which antihistamines produce sedation?

A

traditional antihistamines such as diphenhydramine

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7
Q

what is the prototype for traditional antihistamines?

A

diphenhydramine

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8
Q

the adverse effects of traditional antihistamines are due to?

A

the anticholinergic activity

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9
Q

what are the benefits of non sedating/peripherally acting antihistamines?

A

fewer CNS side effects (no sedation) and longer duration of action

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10
Q

what is the prototype for non sedating/peripherally acting antihistamines?

A

loratadine

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11
Q

what should clients taking antihistamines avoid doing?

A

driving, operating heavy machinery, drinking alcohol or taking other CNS depressants

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12
Q

antitussives are used only for?

A

nonproductive coughs

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13
Q

how do opioids work to suppress cough?

A

they suppress the cough reflex by acting on the cough centre in the medulla

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14
Q

prototype for antitussives

A

codeine

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15
Q

antitussive that is a synthetic morphine like compound

A

dextromethorphan

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16
Q

what is a major adverse effect of codeine?

A

constipation

17
Q

what is an adverse effect of dextromethorphan?

A

drowsiness

18
Q

what are things that the client should report?

A

cough that lasts more than week and fever