Week 3: Non-productive Cough vs Productive Cough Flashcards Preview

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Flashcards in Week 3: Non-productive Cough vs Productive Cough Deck (23):
1

Dextromethorphan (Delsym) is an example of a _____ cough suppressant that treats a non-productive cough.

centrally acting

(acts on the medulla to increase cough threshold)

2

You should not take dextromethorphan (Delsym) for at least _____.

14 days after MAOIs are discontinued.

3

____ is also known as dextromethorphan and is a centrally acting cough suppressant that treats non-productive coughs.

Delsym

4

_____ regulations prohibits the sale to anyone under 18 years old, must require ID if purchaser appears to be less than 25 years old, and is kept OVER the counter (OTC).

dextromethorphan

5

____ is an example of a centrally acting cough suppressant that treats non-productive coughs. It has a side effect of drying up everything (dry respiratory secretions, sedation, blurred vision, urinary retention, dry mouth, constipation).

Diphenhydramine

6

____ is an example of a centrally acting cough suppressant that is a prescription in California and is a Schedule V controlled substance.

Codeine

7

The max/day for either codeine or dextromethorphan is ____.

120 mg.

8

The dosing for dextromethorphan is 10-20 mg Q 4-6 hours, but if using Delsym (the extended release form of dextromethorphan) then the dosing is 60 mg Q ____ hours.

12

9

The DDI (drug drug interaction) with dextromethorphan (Delsym) is _____.

with MAOIs

10

_____ is the 1st line of therapy for cough due to the common cold because it cross the blood brain barrier to get rid of the cough and other symptoms.

diphenhydramine

11

Peripherally acting cough suppressants that treat a non-productive cough are formulations of ___, ___, and ___.

ointment
lozenge
inhalation

12

When using an ointment to treat a non-productive cough, rub on the _____.

throat and chest as a thick layer no more than 3 times a day

13

When using an ointment to treat a non-productive cough, do NOT use _____.

in nostrils
under the nose
on damaged skin

14

Treatment for a productive cough include expectorants and ______.

Guaifenesin (Robitussin, Tussin, and Mucinex)

15

The MOA of treatment for productive coughs are to ____.

loosen and thin bronchial secretions
(to make the cough more productive)

16

Treatment for a productive cough such as expectorants and guaifenesin (Robitussin, Tussin, or Mucinex) is best when taken with ____.

lots of water

17

Guaifenesin (Tussin or Mucinex) has a max/day of _____ for both immediate and extended release.

2400 mg

18

What is the counseling point for the immediate release form of Guaifenesesin for adults and children over 12 years old?

take with plenty of water

19

What is the counseling point for extended release form of Guaifenesesin for adults and children over 12 years old?

do not crush or chew
take with plenty of water

20

_____ is a combination product that makes a cough more productive and at the same time stops the cough. It is reserved for patients with a productive cough who also have difficulty sleeping due to the cough.

Robitussin DM
Mucinex DM

(guaifenecin makes the cough more productive + dextromethorphan stops the cough)

21

_____ are ineffective in treating cough associated with the common cold.

central cough suppressants

22

You should recommend combination of _____ to treat postnasal drip that is most likely the cause of cough.

1st generation antihistamine + decongestant

23

Use ____ or ____ only for short term symptomatic relief of cough.

dextromethorphan or codeine