Term
| Productive cough. Clear secretions |
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Definition
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Term
| Productive Cough. Purulent secretions |
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Definition
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Term
| Productive cough. Discolored Secretion |
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Definition
| Yellow with inflammatory disorder |
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Term
| Productive cough. malodorous secretion |
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Definition
| anaerobic bacterial infection |
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Term
| Nonproductive cough Causes (5) |
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Definition
-Viral respiratory infection
-atypical bacterial infection
-GERD
-Cardiac disease
-Medications |
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Term
| Pharmacologic action of Antitussives |
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Definition
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Term
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Definition
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Term
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Definition
—Adult: 30 mg PO every 6 to 8 hours
—Children (age 6-12): 15 mg every 6 to 8 hours
—Children (age 2-6): 7.5 mg every 6 to 8 hours |
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Term
| Adverse Effects of Dextromethorphan |
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Definition
Confusion
Excitation
Nervousness
Irritability
Abuse potential |
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Term
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Definition
-duration less than 3 weeks
-commonly caused by upper respiratory infection |
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Term
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Definition
-Duration of 3-8 weeks
-Commonly caused by bacterial sinusitis, asthma, or infection |
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Term
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Definition
-Duration of longer than 8 weeks
-commonly caused by postnasal drip syndrome (PNDS), asthma, and GERD |
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Term
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Definition
-Stimulate sensory nerve ending withing the nose and mucosa
-Creates a local anesthetic sensation and a sense of improved airflow |
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Term
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Definition
| confusion, excitation, nervousness, irritability, abuse potential |
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Term
| Dextromethorphan contraindications |
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Definition
-hypersensitivity rxn
-MAOI use in 14 days |
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Term
| Expectorant (Guafensin) MOA |
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Definition
-Loosens and thins lower respiratory tract secretions
-Makes cough more productive |
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Term
| Expectorant (Guaifenisen) Dose |
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Definition
Adult: 200-400 mg PO every 4 hours
Children (age 6-12): 100-200mg mg every 4 hours
Children (age 2-6): 50-100 mg every 4 hours |
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Term
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Definition
-Free from sugar
-Free from alcohol
-Free from salt |
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Term
| Triaminic thin strips Directions |
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Definition
Dose (age 6 to 12 years): Dissolve 2 strips on tongue. May be taken 6 to 8 hours
Do NOT exceed 8 strips in 24 hours or as directed by a physician
Children (under 6 years): Ask the physician |
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Term
| Most common recommended cough drops |
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Definition
-Vicks
-Robutussin
-Dimetapp Cold
-Theraflu
-Pediacare |
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Term
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Definition
-should not treat fever for more than 3 days without referral for evaluation
-thick yellowish green phlegm
-drenching night time sweats
-cough for more than 1 week despite OTC medications
-drug related
-Chronic underlying disease (congestive heart failure, GERD, cancer) |
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Term
| Epidemology (Viral infection of the URT) |
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Definition
One of the top diagnosed illnesses in the US
62 million cases annually
Children have 6-10 colds per year
52 million under the age of 17
Women (ages 20-30) > Men
Patients spend ~ $299 million on OTC products annually |
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Term
| Etiology of cold (Viruses) |
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Definition
> 200 different viruses
Rhinovirus
Respiratory syncytial virus (RSV)
Coronaviruses
Coxsackie viruses
Influenza viruses
Parainfluenza viruses
Adenoviruses |
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Term
| Appears 1-3 days after cold infection |
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Definition
Sore throat – 1st to appear
Runny nose – dominate by 2 or 3 days
Congestion
Sneezing
Weakened senses of taste and smell
Cough - < 20% on day 4 or 5
Low grade fever (infants and young children) |
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Term
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Definition
Temporary relieve on chest and throat, cough, and nasal congestion
Rub a thick layer on chest and throat. Repeat up to 3 times a day |
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Term
| Vicks Baby Rub (Vaporizing Cream for children) |
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Definition
Can be used for children 3 months and older
Gently massage on neck, chest, and back
Avoid eye contact
Do NOT heat
Do NOT use in mouth or nostrils
DO NOT use on face |
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Term
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Definition
Stimulate adrenergic receptors
Decreases blood supply in sinusoid vessels in the nose and decreases mucosal edema
Non-selective |
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Term
| Short Acting nasal decongestants |
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Definition
(4 to 6 hours)
-Phenylephrine
-Tetrahydrolizine |
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Term
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Definition
(8 to 10 hours)
-Xylometaziline |
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Term
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Definition
| Afrin, Neo-Synephrine, vicks sinex, distan 12 hr nasal, little noses decongestant nose drops |
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Term
| Decongestant Side Effects (Oral) |
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Definition
Elevated blood pressure
Increase heart rate
Palpitation
Restlessness, insomnia, anxiety, tremor |
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Term
| Decongestant Side Effects (Nasal) |
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Definition
Minimally absorbed
Local irritation
Rhinitis medicamentosa |
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Term
| Effective Herbal cold Remedies |
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Definition
-Echinacea
-Zinc Lozenges |
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Term
| Special Populations (Use during pregnancy and lactation) |
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Definition
-Avoid extra-strength, long acting or combination products,
-Topical decongestants (Oxymetazoline-safe during pregnancy ,Phenylephrine-safe in nursing mothers)
-Systemic Decongestants (Psuedophedrine-safe in nursing mothers) |
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