Oxygen

• Antihistamines : block histamine diphenhydramine 


  /fexofenadine/loratadine/certizine
• Histamine 1: with respiratory issues to control secretions Histamine 2: with GI issues secretions
• Antihistamines Adverse Effects


  low BP, palpitations, sedation (drowsiness), nervousness, nausea/vomiting, dry mouth/nose
• Antihistamines Contraindication


  know drug allergy, glaucoma, cardiac/renal disease, hypertension, COPD
• diphenhydramine Used


  for allergies, motion sickness, sleep, sedation, blood transfusions
• diphenhydramine


  Avoid with elderly because of sedation, could lead to high risk for fall
• loratadine Used


  for seasonal allergies, hay fever, chronic urticariaOnce a day dosage
• Decongestants : decrease inflammation in nasal passage (steroids)


  budesonide /fluticasone
• Decongestants Adverse Effects


  nervousness, insomnia, hypertension, palpitations, Fungus/ Thrush*
• Decongestants Contraindication


  known drug allergy, glaucoma, cardiovascular disease, hypertension, diabetes
• Decongestants Educate


  rinsing after use, 4-6 hour
• Antitussives : for dry non-mucous cough/ suppresses cough
• Opioid Antitussives


  Codeine/hydrocodone

  Suppresses cough reflex in central nervous system. usually PRN
• Opioid Antitussives Adverse Effects


  sedation, respiratory depression, nausea, vomiting, constipation
• Opioid Antitussives Contraindication


  known drug allergy
• Non-Opioid Antitussives


  dextromethorphan

  Suppresses cough reflex, does not cause central nervous system depression. Less effective, OTC
• Non-Opioid Antitussives Adverse Effects

  minimal but can cause nausea/ vomiting
• Non-Opioid Antitussives Contraindication


  hyperthyroidism, hypertension
• Non-Opioid Antitussives Educate


  reading labels, 12-24 hours
• Expectorants : Break down and thin out secretions, reliefs productive cough

  guaifenesin
• Expectorants Adverse Effects


  minimal but can cause nausea/ vomiting
• Expectorants Contraindication


  known drug allergy
• Expectorants Educate


  encourage drinking lots of fluids to thin out secretions