URI Flashcards
1
Q
URI
age of acute nasopharyngitis
A
children: 6-8 colds/yr
adults: 1-4 colds/yr
2
Q
URI
risk factors for URI
A
Smoking
Very young, very old
Crowded conditions
3
Q
URI
most common pathogen for URI
A
rhinovirus
4
Q
URI
time course for typical URI (rhinovirus)
A
incubation 1-5 days, viral shedding up to 2 weeks, symptoms 7 days (10-14days for ped’s)
5
Q
URI
mild coryzal symptoms
A
- Low-grade fever
- Generalized malaise
- Rhinorrhea
- Nasal congestion and discharge
- Sneezing
- Sore throat or hoarseness
- Water and/or inflamed eyes
- Headache
- Cough (dry, non-productive)
6
Q
URI
complications URI
A
Otitis media, sinusitis, pneumonia
7
Q
URI
non-pharm for URI
A
children < 6 Saline nasal drops 2-3 gtts/nostril BID-TID, rubber suction bulb, cool-mist humidifier
> 6 saline rinses, humidifier, TLC
8
Q
URI
what pharm to avoid in URI
A
- Cough suppressants may increase viral replication and have no proven benefit. Should be avoided in ped’s.
- Topical decongestant sprays for rhinorrhea should not be used more than 2-3 days - may cause rebound sx
- Oral decongestants (sudafed) –> tachycardia, palpitations, hypertension.
- Older adults: antihistamines not recommended (anticholinergic effects - confusion, cognitive impairment, delirium, dry mouth, constipation, urinary retention, sedation)
