Antihistamines and Decongestants Quiz
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Questions and Answers

What is the recommended age for children to use over-the-counter cough and cold products according to the U.S. Food and Drug Administration (FDA)?

  • 4 years and above
  • 5 years and above
  • 3 years and above
  • 2 years and above (correct)
  • What is the cause of most common colds?

  • Allergic reaction
  • Viral infection (correct)
  • Fungal infection
  • Bacterial infection
  • What is the main purpose of the treatment for the common cold?

  • Preventing secondary infections
  • Reducing mucus production
  • Symptomatic relief (correct)
  • Eliminating the causative pathogen
  • Which substances are released due to mucosal irritation in the nasal passages?

    <p>Inflammatory and vasoactive substances</p> Signup and view all the answers

    What is the main outcome of treatment for the common cold with antivirals and antibiotics?

    <p>Relief of symptoms</p> Signup and view all the answers

    Why is it difficult to identify the cause of the common cold as viral or bacterial?

    <p>Similar initial symptoms for both viral and bacterial infections</p> Signup and view all the answers

    What is the result of excessive mucus production in the upper respiratory tract during a common cold?

    <p>Sore throat and coughing</p> Signup and view all the answers

    What is the mechanism of action of inhaled intranasal decongestants?

    <p>They constrict small blood vessels supplying upper respiratory tract structures</p> Signup and view all the answers

    What is the primary purpose of antitussives?

    <p>To stop or reduce coughing</p> Signup and view all the answers

    How do opioid antitussives suppress the cough reflex?

    <p>By direct action on the cough center in the medulla</p> Signup and view all the answers

    What is the primary function of expectorants?

    <p>To aid in the removal of mucus by reducing its viscosity and thinning secretions</p> Signup and view all the answers

    What are the adverse effects of decongestants?

    <p>Nervousness, local mucosal dryness, insomnia, and irritation</p> Signup and view all the answers

    What is the primary concern with opioid antitussives?

    <p>Respiratory depression</p> Signup and view all the answers

    When are antitussives specifically indicated for use?

    <p>Nonproductive coughs</p> Signup and view all the answers

    What are the adverse effects of antihistamines?

    <p>Anticholinergic effects, dry mouth, difficulty urinating, constipation, changes in vision, and drowsiness</p> Signup and view all the answers

    What are the conditions in which antihistamines are contraindicated?

    <p>Known drug allergy, narrow-angle glaucoma, cardiac disease, hypertension, kidney disease, bronchial asthma, chronic obstructive pulmonary disease (COPD), and during acute asthmatic attacks</p> Signup and view all the answers

    What is the role of H2 blockers?

    <p>To reduce gastric acid in peptic ulcer disease</p> Signup and view all the answers

    What are the effects of antihistamines?

    <p>Reducing dilation of blood vessels and reducing capillary permeability</p> Signup and view all the answers

    What is the main function of antihistamines?

    <p>To prevent adverse consequences of histamine stimulation</p> Signup and view all the answers

    What is the role of histamine in allergic disorders?

    <p>Histamine is a major inflammatory mediator in many allergic disorders</p> Signup and view all the answers

    Which drug is the best choice for a 94-year-old patient with a severe dry cough, chest muscle pain, unsteadiness, and confusion?

    <p>Dextromethorphan (Robitussin-DM) oral solution</p> Signup and view all the answers

    Which drug is most effective for helping a patient with a tracheostomy who has developed pneumonia and is finding it difficult to cough up thick, dry secretions?

    <p>Guaifenesin (Mucinex)</p> Signup and view all the answers

    Which drug is not suitable for a patient with severe dry cough and chest muscle pain?

    <p>Dextromethorphan (Robitussin-DM) oral solution</p> Signup and view all the answers

    Which condition is a contraindication for using guaifenesin (Mucinex)?

    <p>Asthma</p> Signup and view all the answers

    Which drug should be avoided in a patient with thick, dry secretions and difficulty coughing?

    <p>Benzonatate (Tessalon Perles) capsules</p> Signup and view all the answers

    Which drug is used to thin excessive mucus in the respiratory tract?

    <p>Guaifenesin (Mucinex)</p> Signup and view all the answers

    Which drug may cause respiratory or CNS depression and is an opioid?

    <p>Codeine cough syrup</p> Signup and view all the answers

    Which drug is an expectorant that helps in the coughing up and spitting out of excessive mucus?

    <p>Guaifenesin (Mucinex)</p> Signup and view all the answers

    Which drug does not cause respiratory or CNS depression and is not an opioid?

    <p>Dextromethorphan (Robitussin-DM) oral solution</p> Signup and view all the answers

    Study Notes

    Antihistamines and Decongestants: Key Points

    • Over-sedation, seizures, tachycardia, and even death can occur in toddlers from such medications
    • Evidence shows that these medications are not effective in small children
    • A 2010 study showed a dramatic decrease in young children’s emergency department visits since the 2008 FDA recommendation
    • Histamine is a major inflammatory mediator in many allergic disorders
    • Antihistamines are drugs that directly compete with histamine for specific receptor sites
    • H1 antagonists (H1 blockers) include chlorpheniramine, fexofenadine, loratadine, cetirizine, and diphenhydramine
    • H2 blockers are used to reduce gastric acid in peptic ulcer disease, examples include cimetidine, ranitidine, famotidine, and nizatidine
    • Antihistamines prevent adverse consequences of histamine stimulation
    • Antihistamines have various effects, including reducing dilation of blood vessels and reducing capillary permeability
    • Antihistamines are used for managing nasal allergies, seasonal or perennial allergic rhinitis, allergic reactions, motion sickness, Parkinson’s disease, sleep disorders, and relieving symptoms associated with the common cold
    • Antihistamines are contraindicated in several conditions, including known drug allergy, narrow-angle glaucoma, cardiac disease, hypertension, kidney disease, bronchial asthma, chronic obstructive pulmonary disease (COPD), and during acute asthmatic attacks
    • Adverse effects of antihistamines include anticholinergic effects, dry mouth, difficulty urinating, constipation, changes in vision, and drowsiness

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    Description

    Test your knowledge of antihistamines and decongestants with this quiz. Explore key points such as their effectiveness in children, mechanisms of action, and contraindications. Learn about the different types of antihistamines and their uses, as well as potential adverse effects.

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