PAC3421 Study Guide - Final Guide: Nasal Spray, Nasal Congestion, Rheumatic Fever
21 Jun 2018
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When to refer rhinitis?
a) Unacceptable side effects due to use of intranasal corticosteroids
b) Severe allergic co-morbidities (i.e. asthma, eczema, food allergies)
c) Unilateral nasal congestion (i.e. suggesting nasal polyps or foreign bodies that require removal)
d) Unilateral eye symptoms
e) Purulent and foul-smelling discharge (i.e. suggesting foreign bodies, NOT nasal polyps)
Pharmacological Management of Common Cold:
a) Paracetamol (for relieving pain and fever)
b) Antibiotics (for preventing complications such as otitis media or rheumatic fever)
c) Decongestant (for relieving nasal congestion in common cold)
Tablets – e.g. pseudoephedrine, phenylephrine
Sprays – e.g. oxymetazoline, xylometazoline
Tablets not for children, spray can be used in children > 6 years on advice of doc, pharm and nurse
practitioner
For children <6 years, use saline nasal spray and/or steam inhalation
d) Advice not to double up on paracetamol or ibuprofen as they are already present on ‘cough & cold’
medicines
e) Complementary medicines (e.g. zinc, echinacea)
Antibiotics will:
A. Improve the symptoms of a cold
B. Help a cold to get faster
C. Stop a cold from getting worse
D. Stop a cold spreading to other people
E. None of the above
NSAIDs (e.g. aspirin, ibuprofen and naproxen) has ____________ effect:
A. Analgesic
B. Anti-inflammatory
C. Antipyretic
D. A and B only
E. All of the above
Which of the following statement regarding management of common cold is INCORRECT?
A. Echinacea is effective in early treatment of common cold in adults
B. Echinacea is effective in preventing common cold in adults
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Document Summary
Pharmacological management of common cold: paracetamol (for relieving pain and fever, antibiotics (for preventing complications such as otitis media or rheumatic fever, decongestant (for relieving nasal congestion in common cold) Tablets not for children, spray can be used in children > 6 years on advice of doc, pharm and nurse practitioner. For children <6 years, use saline nasal spray and/or steam inhalation: advice not to double up on paracetamol or ibuprofen as they are already present on cough & cold" medicines, complementary medicines (e. g. zinc, echinacea) Improve the symptoms of a cold: help a cold to get faster, stop a cold from getting worse, stop a cold spreading to other people, none of the above. Nsaids (e. g. aspirin, ibuprofen and naproxen) has ____________ effect: analgesic, anti-inflammatory, antipyretic, a and b only, all of the above. Which of the following is used in the treatment of sinusitis: topical nasal decongestant, saline nasal spray, topical steroids, antihistamine, systemic nasal decongestant.
