cold allergies

Question 1

allergic rhinitis is caused by

Answer 1

exposure to allergen

Question 2

nasal irrigation require what kind of water

Answer 2

distilled, sterile, or previously boiled

Question 3

firstline treatment for moderate-severe allergy symptoms

Answer 3

intranasal steroids

Question 4

preferred nasal steroids in pregnancy

Answer 4

budesonide, beclomethasone

Question 5

antihistamines have little effect on

Answer 5

nasal congestion

Question 6

what are the first generation antihistamines

Answer 6

benadryl, chlorpheniramine, doxylamine, clemastine, carbinoxamine

Question 7

who should not receive first gen antihistamines

Answer 7

elderly, <2yo

Question 8

use first gen antihistamines with caution if patient also has

Answer 8

prostate enlargement, glaucoma

Question 9

major side effects of first gen antihistamines

Answer 9

somnolence, cognitive impairment, anticholinergic side effects

Question 10

what are the anticholinergic side effects

Answer 10

dry mouth, blurry vision, urinary retention, constipation

Question 11

first gen antihistamines may also cause which type of sensitivity

Answer 11

photo

Question 12

which antihistamines are second gen

Answer 12

cetirizine, levoceterizine, fexofenadine, loratadine, desloratadine

Question 13

levocetirazine (xyzal) is contraindicated in

Answer 13

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

Question 14

fexofenadine should not be taken with

Answer 14

fruit juice

Question 15

preferred 2nd gen antihistamines in pregnancy

Answer 15

loratadine, cetirizine

Question 16

which second gen antihistamines are the least sedating

Answer 16

fexofenadine, loratadine

Question 17

which second gen antihistamines are the most sedating

Answer 17

cetirizine, levocetirizine

Question 18

which antihistamines are given intranasally

Answer 18

azelastine, olopatadine

Question 19

what is a major side effect of azelastine

Answer 19

bitter taste

Question 20

phenylephrine is given in what route

Answer 20

intranasal

Question 21

when should oral decongestants be avoided

Answer 21

first trimester of pregnancy

Question 22

what are some major SE of Sudafed

Answer 22

CV stimulation, insomnia, dec appetite

Question 23

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

Answer 23

<4 yo

Question 24

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

Answer 24

CVD, BPH

Question 25

major side effect of Afrin

Answer 25

rhinitis mmedicamentosa

Question 26

what are the limits for sale of sudafed and related products

Answer 26

3.6 g/day, 9 g/month

Question 27

what is the MOA od NasalCrom

Answer 27

mast cell stabilizer

Question 28

major counseling point for IN cromolyn

Answer 28

use regularly NOT prn

Question 29

MOA of IN ipratropium for allergic rhinitis

Answer 29

nasal dryness

Question 30

long-term use of zinc may cause

Answer 30

copper deficiency

Question 31

T/F: vitamin C may prevent a cold

Answer 31

F; no efficacy for prevention but may dec duration

Question 32

which natural products are considered possibly effective for colds

Answer 32

zinc, echinacea, vitamin C

Question 33

benzonatate MOA

Answer 33

topical anaesthetic on respiratory stretch receptors

Question 34

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

Answer 34

<18yo

Question 35

major counseling point for tessalon pearles

Answer 35

do not swallow

Question 36

codeine contraindications

Answer 36

<12yo, <18yo after tonsillectomy or adenoidectomy

Question 37

age restrictions on OTC cough and cold medicine

Answer 37

<4yo

Question 38

promethazine use inchildren < 2yo may cause

Answer 38

fatal respiratory depression

Question 39

camphor and menthol should not be used in which population

Answer 39

<2yo

Question 40

products containing phenylalanine must be avoided if you have

Answer 40

phenylketonuria