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18 Cards in this Set
- Front
- Back
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Decogestants--MOA
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Constrict blood vessels on nasal mucosa
Sympathomimetic-Mimics SNS-- Opening airways, symptomatic relief |
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Antihistamines-H1 receptor antagonists-MOA
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Blocks action of histamine at receptor sie.
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Antihistamines-H1 receptor antagonists--TU
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Allergy symptoms--insomnia
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Antihistamines-H1 receptor antagonists--Side Effects
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1st Gen: Anticholinergic effect: (Blurred vision, dry mouth, HA, dizziness urinary retention, thick mucus N.V)
sedation reduced BP excitation hypersensitivity. 2nd Gen: Less drowsiness HA GI upset |
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Antihistamines-H1 receptor antagonists---Critical assessments
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Health history(Caution cardiac patients)
VS LOC SE Breathing sounds--wheezing. |
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Antihistamines-H1 receptor antagonists--Patient Teaching
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Report Breathing difficulties,
SE, best taken prophylactically, avoid alcohol, check w/doc a/b OTC drugs before taking. |
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Antihistamines-H1 receptor antagonists--Examples
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1st Gen: Benedryl--every 4-6hrs
2nd Gen: Zyrtec, Claritin--12-24hrs |
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Decongestants- TU
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Nasal congestion
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Decongestants-SE
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HTN
Palpitations CNS Stim, insomnia, irritable, jittery, Rebound Congestion WITH SPRAY Less SE with Spray SPRAYS--take for 3-5 days! |
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Decongestants-CA
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Health history(CATUION CARDIAC PT)
Nare integrity VS Breath sounds |
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Decongestants-Patient teaching
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Limit use
Talk to Dr b4 OTC drug use Report Palpiation fever visial changes nose bleeds TEACH how to use Spray |
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Decongestants-Examples
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Afrin, sudafed--PO(long lasting, systemic effect, longer onset)
Nasal spray(LOCAL) |
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Antitussive--MOA
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Depress cough
---WORKS IN BRAIN--- Codeine Hydrocodone (Hycodan) Dextromethorphan (Pedia care, Robitussin DM) --WORKS IN LUNGS__ Benzonatate(Tessalo) |
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Antitussive--TU
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Non-Productive cough
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Antitussive--SE
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2 categories!!!
1)Opioid--NV, Confusion, sedation, resp depression 2) NON-Opioid--Paradoxical excitation, tremor |
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Antitussive--CA
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VS
BREATH SOUNDS LOC SE CAUTION IN CHRONIC LUNG DISEASE COUGH THAT DOESN'T REACT |
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Antitussive--Teaching
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AVOID--
driving or performing HAZ activities. alcohol report SE Productive cough Keep away from children |
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Antitussive--Examples
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Opioid--Codeine
hydrocodeine (hydrocan) NON-Opioid benzonatate (Tessalon) dextromethorphan(PC,Rob DM) |
