Term
| What respiratory structures are affected in a cold |
|
Definition
pharynx
nasopharynx
nose
cavernous sinusoids
paranasal sinusoids |
|
|
Term
| There are 200+ virus that cause colds, but the majority of colds is caused by |
|
Definition
|
|
Term
| When is peak viral concentrations reached? |
|
Definition
| 3-4days after innoculation |
|
|
Term
| How long are viruses present in the nasopharynx? |
|
Definition
|
|
Term
| What is the most efficient way people are infected with colds |
|
Definition
|
|
Term
| Describe the presentation of a cold |
|
Definition
-Days 1-3 sore throat
-2-3 days later nasal symptoms
-Day 4-5 cough (<20%) |
|
|
Term
| T/F colds are rarely associated with fevers >100deg F |
|
Definition
|
|
Term
| Describe mucus throughout a cold |
|
Definition
Day 1-2-clear and thin
Middle-Green|yellow and thick
End-clear and thin |
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|
Term
|
Definition
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Term
| Decongestants are what class of medicine? |
|
Definition
| adrenergic agonists (sympathomimetic) |
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|
Term
| Three types of decongestants |
|
Definition
|
|
Term
|
Definition
Rhinitis medicaments
aka: rebound congestion |
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|
Term
|
Definition
| When using a decongestants beyond 5 days |
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|
Term
| FDA recommended age for cough and cold syrups? |
|
Definition
|
|
Term
| Are antihistamines effective in relieving cold related rhinorrhea and sneezing? |
|
Definition
|
|
Term
| 3 systemic nasal decongestants |
|
Definition
phenylephrine HCL
phenylephrine bitartate
Pseudoephedrine |
|
|
Term
| 5 topical (drops/sprays) decongestants |
|
Definition
ephedrine
phenylephrine
naphazoline
oxymetazoline
xylometazoline |
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|
Term
| Decongestants are contraindicated in pats who are taking... |
|
Definition
|
|
Term
| When should patients stop/not self treatment? |
|
Definition
| If symptoms continue beyond 7-14 days |
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|
Term
| T/F Pseudoephedrine is safe for breast feeding? |
|
Definition
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|
Term
| Therapuetic objectives for treating cold |
|
Definition
1. Symptom relief
2. prevent spread
3. improve QOL |
|
|
Term
| Allergies are classified into two categories |
|
Definition
1. intermittent <4wks
2. Persistent >4wks |
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|
Term
| Moderate to severe allergies of either class |
|
Definition
|
|
Term
| Goals of allergy therapy? |
|
Definition
NOT CURABLE
1. improve qol
2. reduce symptoms |
|
|
Term
| 3 steps of treating allergic rhinitis |
|
Definition
1. avoidance
2. pharmacotherapy
3. immunotherapy |
|
|
Term
| Intermittent allergies in the late/summer fall are caused by |
|
Definition
|
|
Term
| Intermittent allergies in the fall to first-frost are caused by |
|
Definition
|
|
Term
| Intermittent allergies in the early summer are caused by |
|
Definition
|
|
Term
| Intermittent allergies in the spring are caused by |
|
Definition
|
|
Term
| Persistent allergies could be caused by |
|
Definition
| cats, dust mites, pollutants, cockroaches |
|
|
Term
| 2 INCSs available on the market |
|
Definition
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|
Term
| Which drug class is only indicated for moderate to severe IAR and PER |
|
Definition
|
|
Term
|
Definition
1. INCS or AH
2. Decongestant if ness
3. Re-evaluate in 2-4wks |
|
|
Term
| First-line allergic rhinitis option for pregnant women |
|
Definition
intra nasal chromolyn
chlorpheniramine (1rst gen AH) |
|
|
Term
| other options for allergic rhinitis option for pregnant women |
|
Definition
diphenhydramine
loratidine
certerizine |
|
|
Term
| T/F antihistamines are contraindicated in breast feeding? |
|
Definition
|
|
Term
|
Definition
diphenhydramine (Benadryl)
chlorpheniramine (Chlor-trimeton) |
|
|
Term
| Second gen antihistamines |
|
Definition
loratidine (claritin/alovert)
cetirizine (Zyrtec)
fexofenadine (allegra) |
|
|
Term
|
Definition
Nasacort (Trimcinolone)
Nasalcrom (Cromolyn)
arious saline based |
|
|
Term
| AH of choice for children |
|
Definition
|
|
Term
| 3 classifications of cough |
|
Definition
1. acute <3wks
2. sub acute 3-8wks
3. Chronic >8wks |
|
|
Term
| Therapuetic goals when treating cough? |
|
Definition
1. Reduce amount and severity of coughing episodes
2. prevent complications |
|
|
Term
| T/F cough treatment is symptomatic? |
|
Definition
| True - cough is a defensive reflex |
|
|
Term
| 2 ways to describe cough? |
|
Definition
1.productive
2. non productive |
|
|
Term
| What is the preferred way to treat NON productive cough |
|
Definition
Antitussives:
codine
dextromethorphan
diphenhydramine
chlorphedianol |
|
|
Term
| The only FDA approved expectorant? |
|
Definition
|
|
Term
| Approved topical antitussives |
|
Definition
|
|
Term
| ACCP recommendations for the common cold (viral cough) |
|
Definition
decongestant
diphenhydramine (cough)
MAYBE naproxen (cough) |
|
|
Term
| ACCP recommendations for post infection sub acute cough? |
|
Definition
| codeine or dextromethorphan |
|
|
Term
| Dextromethorphan commercial products |
|
Definition
Dayquil
Delysm
Robitussin LA
anything DM |
|
|
Term
| Some differential diagnosis from colds: |
|
Definition
asthma
COPD
Influenza
West nile
Any of the bact. infections from peds |
|
|
Term
|
Definition
|
|
Term
| Long-lasting decongestants |
|
Definition
Psuedo - oral
Oxymetazoline - Nasal |
|
|
Term
| Which intranasal are not recommended for children 6-12yo |
|
Definition
Phenylephrine 1 and 0.5
Xylometazoline 0.1
Naphazoline 0.05 |
|
|
Term
| Which intranasals are recommended for children < 6yo |
|
Definition
Oxymetazoline 0.025
Phenylephrine 0.125
Xylometazoline 0.05 |
|
|
Term
| T/F Decongestants are contraindicated in patients receiving MAOIs? |
|
Definition
|
|
Term
| Any commercial decongestant with PE contains |
|
Definition
|
|
Term
| Any commercial combo product with D contains |
|
Definition
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