U2: Upper Respiratory Drugs

Question 1

Diphenhydramine

What is the brand name and what type of drug is it?

Answer 1

Benadryl - antihistamine

Question 2

Diphenhydramine is contraindicated for:

Answer 2

Closed-angle glaucoma, hepatic disease, GI/GU obstruction, increased ocular pressure.

Question 3

What are the side effects of diphenhydramine?

Answer 3

Anti-cholinergic side effects: Dry mouth, dizziness, drowsiness, insomnia, tachycardia, difficulty urinating, mucous thickening in airways and constipation

Question 4

What are the adverse effects of diphenhydramine?

Answer 4

Seizures and thrombocytopenia

Question 5

Who should use caution when taking diphenhydramine?

Answer 5

Asthmatics

Question 6

Dextromethorphan hydrobromide

What is the brand name and what type of drug is it?

Answer 6

Robitussin - Antitussive

Question 7

What are the side effects of dextromethorphan hydrobromide?

Answer 7

Dizziness, drowsiness, fatigue, N/V, restlessness, impaired coordination

Question 8

What are the adverse effects of Dextromethorphan hydrobromide?

Answer 8

Psychosis, tachycardia, seizures, respiratory depression and serotonin syndrome

Question 9

Dextromethorphan hydrobromide is contraindicated for:

Answer 9

Hypersensitivity, MAOI therapy (antidepressants)

Question 10

Who should take caution when using Dextromethorphan hydrobromide?

Answer 10

Asthma, emphysema, hepatic disease, older adults, pregnancy/breastfeeding, smokers

Question 11

How does Dextromethorphan hydrobromide work?

Answer 11

Suppresses the cough reflex in the medulla

Question 12

Is Dextromethorphan hydrobromide for a productive or non-productive cough?

Answer 12

Non-productive only.

Question 13

Pseudoephedrine

What is the brand name and what type of drug is it?

Answer 13

Sudafed - Decongestant

Question 14

What type of decongestant is pseudoephedrine?

Answer 14

Alpha-adrenergic

Question 15

What is a side effect of pseudoephedrine?

Answer 15

Insomnia

Question 16

What are the contraindications of pseudoephedrine?

Answer 16

High BP, type 2 diabetes, hepatic disorder, glaucoma, hyperthyroidism, renal disorder, heart condition and prostate issues

Question 17

How long is it advisable to take pseudoephedrine?

Answer 17

No longer than 3 days, can cause rebound congestion.

Question 18

What should patients avoid while using pseudoephedrine?

Answer 18

Caffeine

Question 19

Which patients should use caution with pseudoephedrine?

Answer 19

Patients using beta-blockers or MAOIs. Could cause hypertension or cardiac arrhythmias

Question 20

Guaifenesin

What is the brand name and what type of drug is it?

Answer 20

Mucinex - Expectorant

Question 21

What are the side effects of guaifenesin?

Answer 21

N/V/D, dizziness, headache, drowsiness

Question 22

Patients who take guaifenesin should (increase/decrease) fluids.

Answer 22

Increase

Question 23

Is guaifenesin for a productive or non-productive cough?

Answer 23

Productive

Question 24

Fluticasone

What is the brand name and what type of drug is it?

Answer 24

Flonase - Intra-nasal glucocorticoids

Question 25

What are the side effects of fluticasone?

Answer 25

Headache, nasal irritation, pharyngitis, fatigue, insomnia, yeast infection, hoarseness, blurred vision

Question 26

Is fluticasone for short-term or long-term use?

Answer 26

Short term, can cause rebound congestion

Question 27

What is the proper method for using fluticasone?

Answer 27

Point away from septum and sniff gently.