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29 Cards in this Set
- Front
- Back
What is the average number of colds per year?
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3 to 10.
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How long does a usual cold last?
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10 to 14 days
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How many days of cold symptoms per year?
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140 days
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Most frequent virus causing common cold
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rhinovirus
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Other viruses that cause common cold
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Rhinoviruses, Coronaviruses, Respiratory syncytial virus, Parainfluenza viruses, Adenoviruses, Nonpolio enteroviruses, Influenza viruses, Reoviruses
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Transmission of common cold
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primarily through contamination of hands and objects by infectious nasal secretions; self-inoculation via the nose or conjunctivae
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Incubation period
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typically 1 to 5 days and up to 7 days
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How long is patient contagious?
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From before symptoms present until day 7-10 (or up to 3 weeks)
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the major categories of medicine found in most cough and cold medicines
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antihistamines, decongestants, antitussives, expectorants, analgesics
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What medicines did JAMA find useful in cold medicines for preschool-age children?
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None
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What do antihistamines do?
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Block H1 receptors on nasal vasculature and compete with histamine for receptor sites
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What other properties do first-generation antihistamines have?
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anticholinergic properties
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Which effect is thought to help with common cold, antihistamine or anticholinergic?
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anticholinergic drying action on mucous membranes
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Adverse Effects of Antihistamines
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Sedation, Paradoxic excitability, Dizziness, Respiratory depression, Hallucinations, Tachycardia, Heart block, Arrhythmia, Dry mouth, Blurred vision, Urinary retention
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Second generation antihistamines do not have what property that first generation antihistamines have?
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What medicines did JAMA find useful in cold medicines for adolescents or adults?
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chlorpheniramine maleate, pseudoephedrine hydrochloride, oxymetazoline hydrochloride, ipratropium bromide, and atropine methonitrate
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What generation antihistamine is terfenadine?
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second-generation
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What generation antihistamine is astemizole?
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second-generation
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What generation antihistamine is loratadine?
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second-generation
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What generation antihistamine is cetirizine?
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second-generation
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How do decongestants work?
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sympathomimetic agents that decrease nasal congestion by causing vasoconstriction
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Adverse effects of topical nasal decongestants
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significant rebound congestion, which is especially dangerous in infants 6 months of age and younger; Continued use of topical decongestants can cause rhinitis medicamentosa, a chronic inflammatory rhinitis, nosebleeds
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Adverse Effects of Systemic Decongestants
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Tachycardia, Irritability, Agitation, Sleeplessness, Hypertension, Anorexia, Headache, Nausea, Vomiting, Palpitations, Dysrhythmias, Seizures, Dystonic reactions
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Narcotic cough medicines contain
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codeine or hydrocodone, which act on the medullary cough center in the brainstem
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Most common nonnarcotic coughmedicine
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dextromethorphan
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Which suppress cough in children, narcotic or nonnarcotic cough medicines
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neither
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guaifenesin
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expectorant; doesn’t work
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supportive therapies
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humidified air, bulb suctioning, saline nasal drops, positioning with the head elevated, and increased fluid intake
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What percent of poison exposures in kids <6 are from CCM?
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5.3%
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