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upper respiratory
| Question | Answer |
|---|---|
| act on cough control center in the medulla | antitussives |
| loosen bronchial secretions so they can be removed by coughing | expectorants |
| H1 blocker or H1 antagonists | antihistimines |
| stimulate the alpha-adrenergic receptors, producing vascular constriction in the nasal cappillaries | decongestants |
| upper repiratory infections include what 5 conditions | common cold, acute rhinitis, sinusitis, acute tonsilitis, laryngitis |
| the most common cause of URI's | common cold |
| on avg. , adults have __-___ colds a yr | 2-4 |
| When the H1 receptor is stimulated, smooth mscle lining the nasal cavity is _____ | constricted |
| second generation antihistamines differ from first generation antihistamines bc they do not cause ________ | sedation |
| clients taking antihistamnes need to monitor for s/s of _________ dysfunction | urinary |
| after constant use of a nasal spray, _____congestion is likely to occur | rebound |
| Do not use nasal sprays in children less than ____ yrs of age | 6 |
| a nondrug expectorant available to everyone | water or fluids |
| the FDA has ordered removal of all cold remedies containing what drug | phenylpropanolamine |
| What is the recommended dose of diphyenhydramine (benadryl) | 25-50mg q4-6h |
| what is one of the effects of benadryl | antitussive |
| benadryl blocks which histamine receptor | H1 |
| client taking benadryl is breastfeeding, what should they know | small amounts of the drug pass into breast milk, breastfeeding is not recommended |
| s/e of benadryl | drowsiness, urinary retention, tinnitus |
| what is the advantage of systemic decongestant over nasal sprays and drops | they provide longer relief |
| what expectorant is frequently an ingredient in cold remedies | guafenesin |
| what nursing interventions should be implemented for the common cold | monitor vital signs, observe color of bronchial secretions, monitor reactions, encourage adequate fluid intake |
| what groups of drugs are used to treat cold symptoms | decongestants, antitussives, expectorants, &antihistamines |
| decongestants are contraindicated for clients with what conditions | hyperthyroidism, cardiac disease, DM, hypertention |
| what information should be included in client teaching for medications for a common cold | read labels of otc drugs for any interactions, and do not drive during initial use of a histamine |
| what is the recommended dose and sched for afrin | 2-3 gtts in each nostril twice a day |
| what is the recommended length of time for use of afrin | 2-3 days |
| what is a dietary restriction of afrin | caffeinated bevs |