Symptom Based Treatment - Nasal Congestion and Rhinorrhea

Question 1

Selective a1 adrenergic receptor AGONIST

Answer 1

Phenylephrine

• decongestant
• alternative to pseudoephedrine
• caution for those with HPN and heart disease

Question 2

Sympathomimetic agent

Answer 2

Phenylpropanolamine

*decongestant and appetite suppresant

Question 3

Nasal decongestant which stimulates both a and B receptors –> bronchodilation, peripheral vasoconstriction and CNS stimulation

Answer 3

Ephedrine

*CI - IHD, thyrotoxicosis, HPN, diabetes, prostatic hypertrophy, glaucoma

Question 4

Nasal decongestant which is a DIRECT acting sympathomimetic

Answer 4

Oxymetazoline

*must NOT be used more than 3-5 days

Question 5

Nasal decongestant which is a sympathomimetic with a adrenergic activity with little or no effect on B adrenergic receptors

Answer 5

Tertryzoline

Question 6

Direct acting sympathomimetic nasal decongestant

Answer 6

Xylometazoline

*must NOT be used more than 7 days

Question 7

My improve nasal mucosa function through direct cleansing, removal of inflammatory mediators and improved mucociliary function

Answer 7

Sodium Chloride

Question 8

Addresses rhinorrhea by (-) serous and seromucous gland secretions

Answer 8

Ipratropium bromide

*caution in patients w/ glaucoma, prostatic hyperplasia, myasthenia gravis