URI

Question 1

URI

age of acute nasopharyngitis

Answer 1

children: 6-8 colds/yr
adults: 1-4 colds/yr

Question 2

URI

risk factors for URI

Answer 2

Smoking
Very young, very old
Crowded conditions

Question 3

URI

most common pathogen for URI

Answer 3

rhinovirus

Question 4

URI

time course for typical URI (rhinovirus)

Answer 4

incubation 1-5 days, viral shedding up to 2 weeks, symptoms 7 days (10-14days for ped’s)

Question 5

URI

mild coryzal symptoms

Answer 5

• Low-grade fever
• Generalized malaise
• Rhinorrhea
• Nasal congestion and discharge
• Sneezing
• Sore throat or hoarseness
• Water and/or inflamed eyes
• Headache
• Cough (dry, non-productive)

Question 6

URI

complications URI

Answer 6

Otitis media, sinusitis, pneumonia

Question 7

URI

non-pharm for URI

Answer 7

children < 6 Saline nasal drops 2-3 gtts/nostril BID-TID, rubber suction bulb, cool-mist humidifier

> 6 saline rinses, humidifier, TLC

Question 8

URI

what pharm to avoid in URI

Answer 8

• Cough suppressants may increase viral replication and have no proven benefit. Should be avoided in ped’s.
• Topical decongestant sprays for rhinorrhea should not be used more than 2-3 days - may cause rebound sx
• Oral decongestants (sudafed) –> tachycardia, palpitations, hypertension.
• Older adults: antihistamines not recommended (anticholinergic effects - confusion, cognitive impairment, delirium, dry mouth, constipation, urinary retention, sedation)