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OTC Medications Exam 1

front 1

What does the Qu in QuEST stand for?

back 1

Quickly and accurately assess the patient.

front 2

What does the E in QuEST stand for?

back 2

Establish candidacy for self-care.

front 3

What does the S in QuEST stand for?

back 3

Suggest appropriate self-care strategies.

front 4

What does the T in QuEST stand for?

back 4

Talk with the patient.

front 5

What does the S in SCHOLAR-MAC stand for?

back 5

Symptoms

front 6

What does the C in SCHOLAR-MAC stand for?

back 6

Characteristics

front 7

What does the H in SCHOLAR-MAC stand for?

back 7

History

front 8

What does the O in SCHOLAR-MAC stand for?

back 8

Onset

front 9

What does the L in SCHOLAR-MAC stand for?

back 9

Location

front 10

What does the A in SCHOLAR-MAC stand for?

back 10

Aggravating factors

front 11

What does the R in SCHOLAR-MAC stand for?

back 11

Remitting factors

front 12

What are the exclusions for self-care for a cough?

back 12

  • A fever above 103
  • It has lasted longer than 7 days
  • Worsening conditions even after the cold/flu has ended
  • The cough is due to an underlying condition
  • Suspected drug-associated cough

front 13

What are the goals of treating a cough?

back 13

Reduce the number and severity of episodes, minimize consequences of uncontrollable episodes, suppress unproductive ones but improve productivity of under-productive ones.

front 14

Antitussive

back 14

Interrupts cough impulse transmission.

front 15

What type of medications does Dextromethorphan, or Delsym, interact with?

back 15

Serotonin modulating medications, such as antidepressants and pain medication.

front 16

Dextromethorphan

back 16

Delsym

front 17

Expectorant

back 17

Stimulates respiratory tract secretions, increases respiratory fluid volumes, decreases viscosity of respiratory fluid.

front 18

Guaifenesin tablets

back 18

Mucinex

front 19

Guaifenesin liquid

back 19

Robitussin

front 20

What is added to cough medicine brand names to say that they are combination products?

back 20

DM

front 21

Fever for common colds is _____, and for allergic rhinitis is _____.

back 21

Rare, absent.

front 22

Nasal discharge for common colds is _____, and for allergic rhinitis is _____.

back 22

Mucopurulent (contains mucus), watery.

front 23

Pruritus, or itching, for common colds is _____, and for allergic rhinitis is _____.

back 23

Uncommon, common.

front 24

Sneezing for common colds is uncommon, and for allergic rhinitis is _____.

back 24

Uncommon, common.

front 25

Exclusions for self-care of a common cold:

back 25

  • Fever above 101.5
  • Chest pain
  • Shortness of breath
  • Frail patients
  • Suspected drug-associated
  • Infants less than 9 months
  • AIDs or on immunosuppressive therapy

front 26

Exclusions for self-care of allergies:

back 26

Symptoms of uncontrolled asthma, COPD, or other respiratory disorders; children less than 12 years with signs of infection; pregnant or lactating women.

front 27

First Generation Antihistamines include:

back 27

Benadryl, Lodrane, and Chlor-Trimeton.

front 28

Benadryl

back 28

Diphenhydramine

front 29

Lodrane

back 29

Brompheniramine

front 30

Chlor-Trimeton

back 30

Chlorpheniramine

front 31

Anticholinergics have what effects?

back 31

Sedation, dizziness, dry mouth/eyes. constipation.

front 32

MOA of 1st Generation Antihistamines?

back 32

Block histamine 1 receptors at central and peripheral sites.

front 33

Which are generally stronger and more effective: 1st or 2nd generation antihistamines?

back 33

1st Generation

front 34

Patient considerations when prescribing antihistamines:

back 34

Uncontrolled asthma or COPD, glaucoma, prostrate or bladder issues, elderly who are at risk of falling.

front 35

MOA of 2nd Generation Antihistamines?

back 35

Block H1 receptors at peripheral sites.

front 36

Second Generation Antihistamines include:

back 36

Claritin, Zyrtec, and Allegra.

front 37

Claritin

back 37

Loratadine

front 38

Zyrtec

back 38

Cetirizine

front 39

Allegra

back 39

Fexofenadine

front 40

Fexofenadine's peak of action is _____, and it lasts about _____.

back 40

2-3 hours, 24 hours.

front 41

Cetirizine's peak of action is _____, and it lasts about _____.

back 41

About 1 hour, >24 hours.

front 42

Loratadine's peak of action is _____, and it lasts about _____.

back 42

8-12 hours, >24 hours.

front 43

Pseudoephedrine is used as a what?

back 43

Decongestant

front 44

Sudafed

back 44

Pseudoephedrine

front 45

How is pseudoephedrine signified?

back 45

"D"

front 46

Why is pseudoephedrine behind-the-counter?

back 46

It can be used to make methamphetamine.

front 47

Pseudoephedrine is limited to ___ grams per day and ___ grams per 30 days.

back 47

3.6, 9.

front 48

What is phenylephrine used as?

back 48

A decongestant.

front 49

What signifies phenylphrine?

back 49

"PE"

front 50

What side-effect do oral decongestants have?

back 50

Raise blood pressure.

front 51

What agents are in topical decongestants?

back 51

Oxymetazoline (Afrin) and Naphazoline

front 52

How long can you use topical decongestants before they begin to worsen the congestion?

back 52

3 days

front 53

Oxymetazoline dosing:

back 53

Older than 6 y.o., 2-3 sprays in each nostril.

front 54

Naphazoline dosing:

back 54

Older than 12 y.o., 1-2 drops/sprays as needed every 6 hours.

front 55

Exclusions for self-care of pain:

back 55

  • Severe pain
  • Lasts more than 10 days
  • Worsening
  • Signs of infection
  • Signs of nerve involvement

front 56

Exclusions for self-care of fever:

back 56

  • Severe symptoms of infection
  • Cardiovascular or pulmonary disease
  • Child who may be dehydrated
  • Child with spots or rash

front 57

Tylenol

back 57

Acetaminophen

front 58

What is acetaminophen used for?

back 58

Fever and pain

front 59

Does acetaminophen have anti-inflammatory properties?

back 59

No.

front 60

What is the max dosing for acetaminophen?

back 60

3-4 grams per day.

front 61

What should be watched for when suggesting acetaminophen?

back 61

If combination products you are suggesting on the side also contain acetaminophen.

front 62

What does NSAID stand for?

back 62

Non-Steroidal Anti-Inflammatory meDications

front 63

Which drugs are NSAIDs?

back 63

Ibuprofen and naproxen sodium

front 64

Motrin

back 64

Ibuprofen

front 65

Advil

back 65

Ibuprofen

front 66

Aleve

back 66

Naproxen sodium

front 67

Always take NSAIDs with food or milk.

back 67

Always take NSAIDs with food or milk.

front 68

How does Dr. Huston feel about Aspirin?

back 68

BAD. Not the best choice for pain or fever.

front 69

What can Aspirin cause?

back 69

Reye's Syndrome

front 70

What age group can Aspirin cause Reye's Syndrome in?

back 70

<12 years