resp

Question 1

decongestants
pts that should not take?

Answer 1

First line for URI
vasoconstrictor in the nose -afrin
PO sudifed

PO or inhaled
* do not take if you have HTN

Question 2

Rhinitis medicamentosa?

Answer 2

rebound congestion from med (more than 3 days, can have a constant nasal congestion)

use only 3 days –> over use= bigger issue.

Question 3

expectorants

Answer 3

Muscinex
-thinner so you can cough up
-drink water and be hydrated so it can work well.

Question 4

Antitussives

Answer 4

coughing suppression in the brain stem
codeine
dextromethorphan

Robitussin, Delsym

• both are sedating

Question 5

Allergies:

first line -name one
Second line - name one
- who should not get Benadryl

Answer 5

Intranasal corticosteroids (flonase)

Antihistamines: Claritin, Benadryl: work by competing with histamine and bind on it so the receptor site is full and allergy cannot bind it.

• edu works best if you take it every day,
  -anticholinergic side effects and sedating

*older adults should not have it