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Chapter50
Viral Rhinitis
17
Medical
Professional
10/02/2011

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Cards

Term
Flu vs Viral rhinitis (common cold)
Definition
Flu is more severe and includes symptoms such as abrupt onset of fever, severe myalgias, anorexia, sore throat, headache and cough
Term
What is used to relieve nasal congestion in viral rhinitis?
Definition
decongestants phenylephrine or pseudoephedrine
Term
At what age can children start using decongestants?
Definition
Age 6
Term
What is effective vs. rhinorrhea & sneezing BUT NOT congestion
Definition
Ipratropium ... age 12+
Term
Big side effect difference between First generation antihistamines and second generation antihistamines
Definition
First generation causes sedation and anticholinergic effects, that the second generation do not
Term
Does vitamin C supplementation prevent colds?
Definition
NO
Term
What is daily dosing (1g) of vitamin C associated with?
Definition
Shorter cold durations and severities
Term
What is zinc supplementation associated with in the common cold?
Definition
Shorter duration and reduced severity of symptoms.
Term
Daily gensing associated with the common cold?
Definition
Can reduce severity and duration
Term
Garlic associated with the common cold?
Definition
No evidence to support its use
Term
Should antihistamines or decongestants be used in children under age 6?
Definition
NO
Term
What analgesics can be used in all age groups for fever associated with viral rhinitis?

How about only in adults?
Definition
APAP and ibuprofen

Only in adults --> ASA
Term
For children under age 5, how should viral rhinitis be managed?
Definition
If fever --> APAP or Ibuprofen + Saline nose drops

If no fever --> just saline nose drops
Term
For children ages 6-11, how should viral rhinitis be managed?
Definition
Fever --> APAP or Ibuprofen + ORAL decongestant/antihistamine

No fever --> ORAL decongestant/antihistamine
Term
For adults or children age > 12, how should viral rhinitis be managed?
Definition
Fever --> APAP or Ibuprofen + oral or topical decongestant or antihistamine

No fever --> topical or oral antihistamine or decongestant
Term
What anti-viral rhinitis drug should be avoided in pregnancy? what decongestants should be used in these cases?
Definition
oral decongestants in the first trimester

oxymetazoline or xylometazoline are considered safe during pregnancy
Term
How should menthol or camphor rubs be used? How should they NEVER be used? In what age is it inappropriate to use them?
Definition
ALWAYS rub on chest or neck or both, NEVER under nose directly. Do not use them in children under age 2
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