Term
| A cough results from the stimulation of sensory receptors located_____ |
|
Definition
| in the larynx and proximal portion of the tracheobronchial tree |
|
|
Term
| What are the 3 phases of a cough |
|
Definition
| inspiration, compressive, expulsive |
|
|
Term
T/F
coughing can be a result of ACE inhibitors |
|
Definition
|
|
Term
What is the duration of acute coughs?
Cause? |
|
Definition
|
|
Term
What is the duration of subacute coughs?
Cause? |
|
Definition
3-8 weeks
infection, bacterial sinusitis and asthma |
|
|
Term
What is the duration of chronic coughs?
Cause? |
|
Definition
longer than 8 weeks
nonsmokers: Upper airway cough syndrome (postnasal drip syndrome)
asthma
GERD |
|
|
Term
| What is a "productive" cough? |
|
Definition
| "wet" or "chesty" expels secretions from lower resp. tract |
|
|
Term
What is a "non productive" cough?
What is it assoc. with? |
|
Definition
dry hacking cough
URTI, GERD cardiac disease and some mediactions |
|
|
Term
T/F
cough with a thick yellow sputum can be treated with OTC med |
|
Definition
FALSE
criteria for exclusion of self treatment |
|
|
Term
| What are non drug therapies for the cough? |
|
Definition
| hard candies, humidification, hydration |
|
|
Term
| What class of drugs are the drug of choice for non productive coughs? |
|
Definition
|
|
Term
| Use of an antitussive for a productive cough can result in____ |
|
Definition
| retention of lower resp. tract secretions |
|
|
Term
T/F
The same dosage of codeine can be used to treat coughs and pain |
|
Definition
FALSE
lower dosage acts as a suppresant |
|
|
Term
T/F
Codeine can be sold OTC |
|
Definition
TRUE
in some states in conjunction with other products |
|
|
Term
| What are some side effects of codeine? |
|
Definition
CNS depression (sedation)
GI effects (nausea, constipation) |
|
|
Term
| What are some reasons that Dextromethorphan is better than codeine? |
|
Definition
It is equipotent to codeine but does not exhibit analgesic, sedative or addictive properties
not likely to cause adr at therapuetic doses |
|
|
Term
What are some side effects of dextromethorphan?
|
|
Definition
may inhibit serotonin reuptake
if misused causes CNS and GI effects |
|
|
Term
T/F
Dextromethorphan should not be used concurrently or within 2 weeks of d/c an MAOI |
|
Definition
|
|
Term
| Can Bendryl be used as an antitussive? |
|
Definition
|
|
Term
What is Clophedianol structurally related to?
How does this pertain to its MOA? |
|
Definition
diphenhydramine
exhibts anticholinergic and anthistaminic actions |
|
|
Term
| What are some topical antitussives? |
|
Definition
|
|
Term
| Is guaifenesin an expectorant or antitussive? |
|
Definition
|
|
Term
What is guaifenesin used for?
how does it work? |
|
Definition
tx of productive cough
loosens and thins secretions facilitating their expectoration |
|
|
Term
| How does benzonatate (Tessalon) work? |
|
Definition
| acts peripherally by local anesthetic action in respiratory passages |
|
|
Term
T/F
Benzonatate may be contraindicated in people allergic to "caine" anesthetics
|
|
Definition
TRUE
it is chemically related |
|
|
Term
What recommendation should be made for the administration of Benzonatate?
Why? |
|
Definition
Capsules should be swallowed whole
chewing or sucking has been assoc. with hypersensitivity and ADR |
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