D. Nervousness Show Rationale: Although a topically applied adrenergic nasal decongestant can be absorbed into the bloodstream, the amount absorbed is usually too small to cause systemic effects at normal dosages. Excessive dosages of these medications, however, are more likely to cause systemic effects elsewhere in the body. These may include cardiovascular effects, such as hypertension and palpitations, and central nervous system effects such as headache, nervousness, and dizziness. 1) Which of the following is NOT one of the 3 phases of cough? * Wretching Wretching 2) There are two causes of cough: chemical and mechanical. * TRUE TRUE 3) There are two types of cough: gentle and loud. * TRUE FALSE it is PRODUCTIVE AND NON-PRODUCTIVE 4) Which of the following statements is true? * A nonproductive (dry) cough serves an important physiological purpose. The two types of cough are productive and nonproductive. 5) Treating a cough will help the cough go away faster. * TRUE FALSE 6) Which of the following may be recommended (by a doctor or pharmacist) to treat a cough? * All of the above All of the above 7) How do dextromethorphan and diphenhydramine work to reduce cough? * By decreasing the cough threshold centrally at the medulla By increasing the cough threshold centrally at the medulla 8) What type of cough is guaifenesin indicated for? * Nonproductive Productive 9) Which of the following are FDA approved topical antitussives? * Menthol Menthol Camphor 10) It is best to recommend an OTC cough treatment for patient if they complain of cough regardless of other symptoms they may be experiences. * TRUE FALSE 11) Which of the following is TRUE regarding the 2006 AACP Cough Guidelines? * Codeine and dextromethorphan should not be recommended for any type of cough because they are dangerous. Guaifenesin is a first line option for a productive cough. Centrally acting cough suppressants are recommended for cough associated with the common cold. A 1st generation antihistamine plus a decongestant is recommended to stop post nasal drip associated with cough. Ibuprofen is recommended to help decrease cough of viral origin. A 1st generation antihistamine plus a decongestant is recommended to stop post nasal drip associated with cough. 12) Regarding recommending cough products in
children, which of the following is TRUE? * Infants and children have died due to miss-use of cough and cold products. Manufacturers label cough and cold products for children 4 years of age and up. It is best to recommend a syringe for all cough syrups even if the product comes with a dosing cup. For children that can't sleep due to coughing, diphenhydramine can be recommended to help the child sleep. Infants and children have died due to miss-use of cough and cold products. Manufacturers label cough and cold products for children 4 years of age and up. For questions 13 - 15 determine whether the symptom is a sign of either a cold, flu, or both. * 13) Fever >100 degrees for 3 days. Cold Flu For questions 13 - 15 determine whether the symptom is a sign of either a cold, flu, or both. * 14) Nasal congestion, sneezing, sore throat. * Cold Cold For questions 13 - 15 determine whether the symptom is a sign of either a cold, flu, or both. * 15) Body aches, chills, fatigue. * Cold Flu 16) Which patient is more likely to get a cold should they come in contact with a cold virus? * Julie, who works in a small office and has a diverse population of friends. Mark who sleeps 8 hours a night and eats a healthy diet. Bob, a pharmacy student who is in the middle of a tough block. Sally, who exercises at home daily. Bob, a pharmacy student who is in the middle of a tough block. 17) Which of the following is the typical order of symptoms for the common cold? * 1) Congestion 2) Chills 3) Body Aches 1) Sore Throat 2) Nasal Symptoms 3) Cough (not always) 18) Which of the following symptoms is NOT typically seen in the physical presentation of a cold? * Mildly tender sinuses Itchy, watery eyes 19) Which of the following is TRUE regarding decongestants? * Pseudoephedrine is only an indirect acting decongestant. Topical decongestants can cause rebound congestion if used for longer than 3-5 days. Decongestants are safe for patients with hypertension and hyperthyroidism. Only topical decongestants should be recommended for patients. Topical decongestants can cause rebound congestion if used for longer than 3-5 days. 20) A patient reported they are taking a medication from those listed below. Which one is safe to use with a systemic decongestant? * Phenelzine None of the above Why not? Phenelzine is MAOI both of those also increase SNS Tums makes urine alkaline which decreases elimination of Pseudoephedrine 21) What is the maximum amount of pseudoephedrine that can be sold in a 24 hour period to a patient? * 3.6 grams 3.6 grams 22) Which of the following is a safe recommendation for treating a cold? * Recommending a patient treat individual symptoms so that they can stop unnecessary medicines when each symptom goes away. Recommending combination cough/cold products to decrease potential accidental overdose. Giving honey to sooth the cough of a child under the age of one since cough syrups are not safe. Recommending warm air humidifier or vaporizer to sooth the airway passage. Recommending a patient treat individual symptoms so that they can stop unnecessary medicines when each symptom goes away. 23) When treating a cold 1st generation antihistamines are not effective as monotherapy. They should be combined with which of the following for the patient to benefit? * A systemic analgesic A decongestant 24) Which of the following medical conditions should prevent you from helping a patient self-treat their cold? * COPD COPD 25) Which of the following age groups have the lowest incidence of allergic rhinitis? * Adolescents Elderly adults 26) AR is a 27-year-old female for which you've just recommended allergy medication. What non-pharmacologic measures could you recommend to her? * Use insecticide to kill cockroaches in the house. Move the cat's litter box out to the garage. Close windows to decrease pollen from outdoors. Use insecticide to kill cockroaches in the house. Move the cat's litter box out to the garage. Close windows to decrease pollen from outdoors. 27) JL is a 42-year-old that teaches energetic third-graders at the neighborhood elementary school; the students require his complete attention. He is currently suffering from seasonal allergies. He prefers to take his medications orally in the morning, and loves to drink orange juice for breakfast. Which antihistamine and dosing should you recommend to him? * Diphenhydramine 25 mg q4-6h prn Loratadine 10 mg qam Explanation: Cetirizine** 28) When a patient
comes to the pharmacy out window to purchase a box of Chlorpheniramine tablets, which of the following possible side effects would you want to mention? * CNS depression CNS depression 29) LW is a 32-year old female that is expecting her second child in six months. She has been experiencing allergic rhinitis more than ever this spring. What is a good phamacologic choice to recommend? * Cromolyn Cromolyn 30) Which of the following is the best (though not always possible) strategy for helping a patient suffering from allergic rhinitis? * Try a first-generation antihistamine, and then a second generation antihistamine if it doesn't work. Avoid the allergen. Always combine an antihistamine with a decongestant Avoid the allergen. Which of the following patient is nasal decongestants contraindicated?Both oral and topical nasal decongestants are contraindicated for patients with heart disease (they increase the workload of the heart), hypertension (they raise blood pressure), thyroid disease (they increase the risk of adverse reactions), diabetes, or, in men, difficulty in urination caused by an enlarged prostate.
What is a decongestant quizlet?Terms in this set (12)
Decongestant MOA. Alpha adrenergic agonists that cause nasal vasoconstriction. Effective in reducing nasal congestion.
Which of the following is a topical decongestant quizlet?Topical decongestants include phenylephrine, pseudoephedrine, oxymetazoline, and xylometazoline.
Which of the following best describes how decongestants work?Decongestants work by causing blood vessels to constrict. This helps relieve congestion caused by the dilation of blood vessels in the nasal passages. Phenylephrine and phenylpropanolamine are two common forms of these drugs. These over-the-counter drugs can bring temporary relief from congestion.
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