Therapeutics - Cough and Cold (ADULTS)

Question 1

TRUE OR FALSE

there is no cure for the common cold

Answer 1

true

just relieve symptoms

Question 2

which is more effective to prevent cold - washing hands or hand sanitizer

Answer 2

washing hands

Question 3

patients with a common cold are excluded from self care if they have a fever of…..

Answer 3

over 101.5

Question 4

true or false

patients with a suspected common cold are excluded from self care if they have chest pain or SOB

Answer 4

true

also if they are immunosuppressed

Question 5

patients with a common cold are excluded from self care if their symptoms last longer than….

Answer 5

7-14 days

Question 6

infants who are less than ______ and have a common cold are excluded from self care

Answer 6

less than 9 months old

Question 7

true or false

if a patient with a common cold has asthma or COPD or CHF, they can still be treated with self care

Answer 7

false -excluded

Question 8

any symptom that is described as _______ excludes a common cold patient from self care

Answer 8

any “SEVERE” symptoms

Question 9

nonpharm treatment for common cold

Answer 9

fluids, rest, good diet, humidification, saline spray, aromatic oils (vick’s)

Question 10

as mentioned, fluid intake is nonpharm treatment for common cold

how does this vary with age

Answer 10

if less than 6 months old - use milk

if older than that than mainly water

Question 11

decongestants are used for what kind of congestion

Answer 11

nasal

Question 12

systemic analgesics are used for…..

Answer 12

fever/body aches

Question 13

name 2 local anesthetics for sore throat

Answer 13

benzocaine
dyclonine

Question 14

3 things that are PART OF GUIDELINES for cough/cold in adults

Answer 14

decongestants
systemic analgesics
local anesthetics

Question 15

how to counsel a pregnant or lactating woman who has a cold and is looking for a product

Answer 15

colds are self limiting - emphasize nonpharm over medication

have to weigh the risks and benefits!

Question 16

preferred decongestant to be used in pregnancy (if appropriate)

Answer 16

nasal oxymetazoline
bc poorly absorbed systemically

oral decongestans reduce fetal blood flow and should be avoided!

Question 17

true or false

a breast feeding patient can take pseudoephedrine

Answer 17

true
however, note that it may decrease milk production

Question 18

name some food sources of zinc

Answer 18

shellfish, shrimp

Question 19

echinacea use in common cold

Answer 19

when used EARLY can shortern the duration and severity of the cold

Question 20

role of zinc in common cold

what form of zinc SHOULD BE AVOIDED

Answer 20

zinc lozenges within the 1st 24 hours of symptoms reduces severity and duration. may taste bad and cause nausea

HOWEVER, DO NOT USE INTRANASAL ZINC! permanent loss of smell

Question 21

vitamin C use in colds

Answer 21

not effective

Question 22

role of garlic in colds

Answer 22

limited, poor studies. no decrease in duration

Question 23

elderberry role in colds

Answer 23

antiviral/neuraminidase inhibitor
stop virus from spreading. decreased duration of symptoms

Question 24

if a patient with a cold is getting worse symptoms and not getting better within _________ of symptom onset, they should be referred to a PCP

Answer 24

7 days

Question 25

true or false colds are contagious

Answer 25

true

Question 26

best expectorant

Answer 26

water

Question 27

"tussis"

Answer 27

cough

Question 28

true or false we should NOT suppress productive coughs

Answer 28

true

Question 29

true or false if a patient has a productive cough, we want them to expectorate

Answer 29

true

Question 30

a dry, hacking cough is caused by...

Answer 30

irritants (ie - pollen. dustt) or a med like an ACE inhibitor

Question 31

if a patient has a cough for more than _____ or the cough keeps coming back, they are excluded from self care

Answer 31

7 days

Question 32

true or false if a patient has a cough due to inhaled dust or irritants, they can partake in self care

Answer 32

false - excluded

Question 33

true or false if a patient has asthma and a cough, they can partake in self care

Answer 33

FALSE - excluded same with COPD

Question 34

antitussives vs expectorants

Answer 34

antitussives - nonproductive cough. act on cough center in the braine expectroants - increase mucus production for easier removal by cough or ciliary transport. used for PRODUCTIVE COUGHS

Question 35

true or false antitussives increase the sensitivity of cough receptors

Answer 35

false - decrease sensitivity

Question 36

counseling point for antitussives

Answer 36

take with a full glass of water

Question 37

true or false antitussives depress the medullary cough center through SIGMA RECEPTOR STIMULATION

Answer 37

true

Question 38

antitussives stop cough through ____ receptor stimulation

Answer 38

sigma

Question 39

true or false dextromethorphan should be used for productive cough

Answer 39

FALSE - AVOID IN PRODUCTIVE COUGH!!!!!!! makes worse

Question 40

3 AE of DM at regular doses

Answer 40

dizzy, upset stomach/vomiting, fatigue

Question 41

AE of dextromethorphan at HIGH DOSES

Answer 41

similar to opioid effects - respiratory and CNS depression and sedation - TARGET OF ABUSE

Question 42

DM needs an RX if the patient is under...

Answer 42

18

Question 43

a ____ is also known as a suppressant

Answer 43

antitussive

Question 44

important benzonatate counseling point

Answer 44

swallow whole - DO NOT CRUSH OR CHEWW

Question 45

TRUE OR FALSE benzonatate should not be used for a productive cough

Answer 45

true

Question 46

side effects of benzonatate

Answer 46

nausea tongue numbness headache, dizzy sleepy

Question 47

RARE AE of benzonatate at high doses

Answer 47

tachycardia, seizures, ventricular arrhythmia, cardiac arrest

Question 48

promethazine class

Answer 48

antihistamine

Question 49

BBW of promethazine

Answer 49

dont use in kids under 2 - fatal respiratory depression!

Question 50

promethazine should be used with caution in what patients and why

Answer 50

geriatrics - anticholinergic effects

Question 51

AE codeine (as antitussive)

Answer 51

sedation, constipation, dyspnea, hypotension, bowel obstruction

Question 52

guifenasin counseling point

Answer 52

take with full glass of water

Question 53

AE of guifenesin

Answer 53

NV, dizzy, drowsy, headache

Question 54

true or false antihistamines are effective at reducing cough

Answer 54

FALSE - ineffective

Question 55

true or false zinc is not recommended for cough

Answer 55

true

Question 56

role of albuterol in cough

Answer 56

not recommended for cough unless the cough is bc of asthma

Question 57

4 supportive treatment/nonpharm for cough

Answer 57

lozenges (menthol) honey steam shower/humidifier fluid intake

Question 58

honey is mainly effective for what kind of cough

Answer 58

dry bc causes a secretion of saliva

Question 59

how do steam showers and humidifiers help with cough

Answer 59

loosen the secretions to help expectorate the phlegm