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Cough Suppressants (Nursing)

by Rhonda Lawes

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    00:00 Now, cough suppressants.

    00:03 Have you ever had someone in your house have a hacking cough? And you're trying to sleep and all you can hear is them coughing? I'm gonna talk about what that means.

    00:13 I know when I teach in nursing school and when proctoring exams and somebody in the room has a cough, I worry about their safety 'cause the students just kind of give him the stare of death when they keep coughing during a test.

    00:25 But you know how it is when you have a cough.

    00:27 The more you try to not cough, the more it seem you need to cough.

    00:32 Let's talk about some over the counter treatments.

    00:34 Antitussive means anti - against, tussive - cough.

    00:39 So these are cough suppressants that are available.

    00:41 Dextromethorphan, now it doesn't have any opiod content.

    00:45 It's a non-opioid cough suppressant.

    00:49 It's available over the counter.

    00:50 It's an opiod derivative but you don't really have the euphoric effect if you take it in a normal dosage.

    00:59 Now, some of you probably already know that this is a drug that can be abused.

    01:04 That particulary in our teenage population, they will drink large quantities of this.

    01:10 And when they drink this cough medicine, they end up like on a PCP-like dissociative mind trip.

    01:16 So this one is another drug that is at risk for abuse.

    01:20 It's available, you usually don't have to show your ID to purchase it.

    01:24 And so if it's abused, you're gonna end up with this PCP like experience.

    01:29 Now Dextromethorphan is in lots and lots of over the counter cold medicine that are combinations.

    01:35 So you always wanna be careful when you are a family member or your patients are combining multiple cold medicines because they can overdose some things like tylenol or dextromethorphan.

    01:48 Now, it's a pretty good antitussive.

    01:50 I know when I have a cold, I use it.

    01:53 But you wanna keep in mind: take it within normal doses and don't take multiple over the counter cold medicines because you're risking overdosing on that.

    02:02 Now, the next group does involve opioids.

    02:05 Remember, dextromethorphan is opioid derivative but it doesn't have that euphoria if you take it in appropriate amount.

    02:12 Prescription antitussives contain codeine and this is more effective than dextromethorphan but you have to have a script for it.

    02:20 You gotta have a health care provider write the prescription for you.

    02:24 It is 1/10th a dose that we use for pain in codeine so you would have to really drink a lot of it to get a super high buzz but it is very effective in treating your cough.

    02:37 So when it comes to cough, you have an over the counter option and you have a prescription option.

    02:43 Both of them are either an opioid derivative or an actual opioid.

    02:47 But remember it is in a much smaller dosage than we would use for pain control.


    About the Lecture

    The lecture Cough Suppressants (Nursing) by Rhonda Lawes is from the course Respiratory Medications (Nursing).


    Included Quiz Questions

    1. Dextromethorphan
    2. Codeine
    3. Guaifenesin
    4. Hydrocodone
    1. 1/10
    2. 1/5
    3. 1/3
    4. 1/8

    Author of lecture Cough Suppressants (Nursing)

     Rhonda Lawes

    Rhonda Lawes


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