Treatment for Cold & Fever Presentation

Treatment for Cold & Fever Presentation

Description

Using the powerpoint already started finish the Cold remedies section of the powerpoint (grey slides).

Part 1) Using various sources look up first line treatment and second line treatment for the following conditions : Colds, Cough, Fever, Decongestants and antihistamines, anti-tussives (grey slides)

PUT IMPORTANT DRUG COUNSELING INFORMATION/Exclusion for treatment in each slide!!!

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Part 2) After you finish the powerpoint, take the whole powerpoint, both the cold remidies and herbal supplements section and make a nice looking handout out of it.

use sources such as handbook of nonprescription drugs, drug facts and comparisons and pharmacist letter

COLD REMEDIES & HERBAL PRODUCTS COLD REMEDIES • THE COMMON COLD: MEDICALLY REFERRED TO AS A VIRAL UPPER RESPIRATORY TRACT INFECTION • SYMPTOMS BEGIN 1 – 3 DAYS AFTER BECOMING INFECTED START WITH SORE THROAT, FOLLOWED BY NASAL SYMPTOMS AND POSSIBLE COUGH COLD TREATMENT NON-PHARMALOGIC THERAPY • GOAL OF THERAPY IS TO REDUCE BOTHERSOME SYMPTOMS AND PREVENT COLD SYMPTOMS FROM TRANSMITTING TO ANOTHER PERSON • INCREASE FLUID INTAKE, ADEQUATE REST, INCREASE HUMIDIFICATION. • HOT TEA & CHICKEN SOUP MAY HAVE SOME ANTIINFLAMMATORY PROPERTIES • BREATH RIGHT STRIPS AND VICK’S VAPORUB CAN TEMPORARILY RELIEVE NASAL CONGESTION AND STUFFINESS • SALINE NASAL SPRAY DROPS TO LOOSEN MUCUS Non Pharmalogic therapy and Pharmalogic therapy for cold treatment Pharmalogic Therapy: Decongestants • Used to specifically treat sinus and nasal congestion Pharmalogic therapy and non phamalogical Antihistamines Pharmalogic therapy and non pharmalogic: Cough (anti-tussives) Non-Pharmalogic and Pharmalogic treatment for Fever HERBAL PRODUCT REGULATION • 1993: Treatment for Cold & Fever Presentation HERBAL PRODUCTS WERE REGULATED AS FOODS. • 1990’S: FDA PROPOSED MORE STRINGENT REGULATION OF HERBAL PRODUCTS. • DSHEA ACT (1994) CREATED A NEW CATEGORY OF PRODUCT, THE DIETARY SUPPLEMENT. • DON’T NECESSARILY REQUIRE EFFICACY AND SAFETY TESTING PRIOR TO MARKETING GINKGO BILOBA • COMMON USES: • IMPROVE MEMORY & PREVENT OR TREAT ALZHEIMER’S DISEASE • DOSAGE: • 120-240 MG/DAY IN 2 – 3 DIVIDED DOSES • ADVERSE EFFECTS: • GI UPSET, DIZZINESS, CONSTIPATION/DIARRHEA, SPONTANEOUS BLEEDING GINKGO BILOBA CONTINUED • IMPORTANT COUNSELING NOTES • CAN INCREASE EFFECTS OF ANTICOAGULANTS • CONTROVERSY REGARDING USE IN PREGNANCY • SEEDS CONTAIN TOXINS • NATURAL MEDICINES: EFFICACY & SAFETY • LIKELY SAFE • SIMILAR TO DONEPEZIL IN SOME STUDIES • MIXED RESULTS ON COGNITIVE IMPROVEMENT IN MON DEMENTIA PATIENTS ST JOHN’S WORT • COMMON USES: • DEPRESSION, ANXIETY & MOOD DISORDERS • DOSAGE: • 300 MG THREE TIMES DAILY • ADVERSE EFFECTS: • PHOTOSENSITIVITY, GI UPSET, INSOMNIA, DRY MOUTH, ALLERGIC REACTIONS ST JOHN’S WORT CONTINUED • IMPORTANT COUNSELING NOTES & DRUG INTERACTIONS: • MAY DECREASE LEVELS OF BIRTH CONTROL PILLS, ANTI SEIZURE DRUGS, CYCLOSPORINE, ANTI-RETROVIRAL DRUGS, WARFARIN • MAY INDUCE SEROTONIN SYNDROME WHEN COMBINED WITH • TRIPANS, SSRI’S AND TRAMADOL • SELF TREATMENT OF DEPRESSION CAN BE DANGEROUS DEPENDING ON SEVERITY OF DEPRESSION • NATURAL MEDICINES: EFFICACY & SAFETY • LIKELY EFFECTIVE FOR MILD/MODERATE DEPRESSION (EQUIVALENT TO SSRI’S IN SOME STUDIES) VALERIAN • COMMON USES: • INSOMNIA AND ANXIETY • DOSAGE: • 400-900 MG TAKEN 2 HOURS BEFORE BEDTIME • ADVERSE EFFECTS: • HEADACHE, DIZZINESS, GI UPSET, FATIGUE VALERIAN CONTINUED • IMPORTANT COUNSELING NOTES • DO NOT USE FOR MORE THAN 4 – 6 WEEKS • DO NOT TAKE WITH BENZODIAZEPINES (BZD) • DO NOT TAKE ALONGSIDE ALCOHOL OR SEDATIVES • DRUG INTERACTIONS WITH HYDROCODONE, HYDROXYZINE, MINOCYCLINE, ETC. • NATURAL MEDICINES: EFFICACY & SAFETY • POSSIBLY EFFECTIVE BUT LESS EFFECTIVE THAN BZD’S OR DIPHENHYDRAMINE • MAY TAKE SEVERAL DAYS OF USE TO SEE FULL EFFECT COLD REMEDIES & HERBAL PRODUCTS COLD REMEDIES • THE COMMON COLD: MEDICALLY REFERRED TO AS A VIRAL UPPER RESPIRATORY TRACT INFECTION • SYMPTOMS BEGIN 1 – 3 DAYS AFTER BECOMING INFECTED START WITH SORE THROAT, FOLLOWED BY NASAL SYMPTOMS AND POSSIBLE COUGH COLD TREATMENT NON-PHARMALOGIC THERAPY • GOAL OF THERAPY IS TO REDUCE BOTHERSOME SYMPTOMS AND PREVENT COLD SYMPTOMS FROM TRANSMITTING TO ANOTHER PERSON • INCREASE FLUID INTAKE, ADEQUATE REST, INCREASE HUMIDIFICATION. • HOT TEA & CHICKEN SOUP MAY HAVE SOME ANTIINFLAMMATORY PROPERTIES • BREATH RIGHT STRIPS AND VICK’S VAPORUB CAN TEMPORARILY RELIEVE NASAL CONGESTION AND STUFFINESS • SALINE NASAL SPRAY DROPS TO LOOSEN MUCUS Non Pharmalogic therapy and Pharmalogic therapy for cold treatment Pharmalogic Therapy: Decongestants • Used to specifically treat sinus and nasal congestion Pharmalogic therapy and non phamalogical Antihistamines Pharmalogic therapy and non pharmalogic: Cough (anti-tussives) Non-Pharmalogic and Pharmalogic treatment for Fever HERBAL PRODUCT REGULATION • 1993: HERBAL PRODUCTS WERE REGULATED AS FOODS. • 1990’S: FDA PROPOSED MORE STRINGENT REGULATION OF HERBAL PRODUCTS. • DSHEA ACT (1994) CREATED A NEW CATEGORY OF PRODUCT, THE DIETARY SUPPLEMENT. • DON’T NECESSARILY REQUIRE EFFICACY AND SAFETY TESTING PRIOR TO MARKETING GINKGO BILOBA • COMMON USES: • IMPROVE MEMORY & PREVENT OR TREAT ALZHEIMER’S DISEASE • DOSAGE: • 120-240 MG/DAY IN 2 – 3 DIVIDED DOSES • ADVERSE EFFECTS: • GI UPSET, DIZZINESS, CONSTIPATION/DIARRHEA, SPONTANEOUS BLEEDING GINKGO BILOBA CONTINUED • IMPORTANT COUNSELING NOTES • CAN INCREASE EFFECTS OF ANTICOAGULANTS • CONTROVERSY REGARDING USE IN PREGNANCY • SEEDS CONTAIN TOXINS • NATURAL MEDICINES: EFFICACY & SAFETY • LIKELY SAFE • SIMILAR TO DONEPEZIL IN SOME STUDIES • MIXED RESULTS ON COGNITIVE IMPROVEMENT IN MON DEMENTIA PATIENTS ST JOHN’S WORT • COMMON USES: • DEPRESSION, ANXIETY & MOOD DISORDERS • DOSAGE: • 300 MG THREE TIMES DAILY • ADVERSE EFFECTS: • PHOTOSENSITIVITY, GI UPSET, INSOMNIA, DRY MOUTH, ALLERGIC REACTIONS ST JOHN’S WORT CONTINUED • IMPORTANT COUNSELING NOTES & DRUG INTERACTIONS: • MAY DECREASE LEVELS OF BIRTH CONTROL PILLS, ANTI SEIZURE DRUGS, CYCLOSPORINE, ANTI-RETROVIRAL DRUGS, WARFARIN • MAY INDUCE SEROTONIN SYNDROME WHEN COMBINED WITH • TRIPANS, SSRI’S AND TRAMADOL • SELF TREATMENT OF DEPRESSION CAN BE DANGEROUS DEPENDING ON SEVERITY OF DEPRESSION • NATURAL MEDICINES: EFFICACY & SAFETY • LIKELY EFFECTIVE FOR MILD/MODERATE DEPRESSION (EQUIVALENT TO SSRI’S IN SOME STUDIES) VALERIAN • COMMON USES: • INSOMNIA AND ANXIETY • DOSAGE: • 400-900 MG TAKEN 2 HOURS BEFORE BEDTIME • ADVERSE EFFECTS: • HEADACHE, DIZZINESS, GI UPSET, FATIGUE VALERIAN CONTINUED • IMPORTANT COUNSELING NOTES • DO NOT USE FOR MORE THAN 4 – 6 WEEKS • DO NOT TAKE WITH BENZODIAZEPINES (BZD) • DO NOT TAKE ALONGSIDE ALCOHOL OR SEDATIVES • DRUG INTERACTIONS WITH HYDROCODONE, HYDROXYZINE, MINOCYCLINE, ETC. • NATURAL MEDICINES: EFFICACY & SAFETY • POSSIBLY EFFECTIVE BUT LESS EFFECTIVE THAN BZD’S OR DIPHENHYDRAMINE • MAY TAKE SEVERAL DAYS OF USE TO SEE FULL EFFECT Drug Facts & comparisons 8 pharmacist letter & natural medicines 1st & 2nd line -most used betaltors – Key Counseling Case Study Irecommendation
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