Therapeutics - Cough and Cold (KIDS) Flashcards
(21 cards)
no antihistamines should be used in kids less than….
6
due to toxic psychosis
**true or false
NO cold preparations are effective in children under 12
true
NO STUDIES HAVE SHOWN COUGH/COLD MEDICATIONS TO BE EFFECTIVE IN PEDS!!!!
3 things to RECOMMEND in kids under 6 who have cough/cold
supportive care
antipyretics
analgesics
THATS IT - anything else like antitussives, decongestants, antihistamines, expectorants etc should be avoided
4 things that we MAY RECOMMEND for kids 6-12
suuportive care
antipyretics
analgesics
oral decongestants
as mentioned, 4 things that we may recommend for kids 6-12 are:
supportive care
analgesics
antipyretics
oral decongestants
however, what is an important counseling point if a parent chooses to give any of these
use SINGLE PREPARATIONS only
for ages 12 and over, can we recommend all dosage forms of decongestants?
YES
however, for topical decongestants, limit for 2-3 days whereas it’s 5 days in adults - to reduce risk of rebound congestion
dextromethorphan is CI in cough in kids under…
under 2
CYP2D6 US polymorphism concern
lot of US people have hyperactive CYP2D6 – increase in the metabolite of dextromethorphan (dextrorphan) leading to neurobehavioral effects
**when is honey CI in kids
under 1 year old!!!!! high risk of botulism
true or false
there is good evidence in using honey to treat cough
tru
product labeling on cough and cold medication for kids
in 2007, the labeling recommended against cough and cold meds in kids under 6, but now the labeling says under 4
can nasal saline irrigations/syringes be used in infants and kids?
YES use sterile preparations tho
benefits of warm liquids in kids
soothe the respiratory mucosa and loosen the secretions
role of humidifier to help nasal symptoms in kids
make room more moist - loosen secretions
what kind of humidifier is preferred
COOL MIST humidifier/vaporizer
counseling point for parents using a humidifier
empty and clean after each use to prevent fungal growth
true or false
should avoid combo products in kids
true
what ages to use tylenol vs ibuprofen as an analgesic/antipyretic
AVOID ibuprofen for both fever and pain in infants less than 3 months
tylenol can be used at any age!
can parents use vaporub or camphor in their kids
yes
improve airflow and sleep - soothe cough
just make sure the kid doesnt eat it
true or false
zinc lozenges are recommended for children
false - no evidence. also risk of choking
