{"id":207,"date":"2019-11-12T17:49:33","date_gmt":"2019-11-12T22:49:33","guid":{"rendered":"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/chapter\/5-8-antitussives\/"},"modified":"2022-01-21T18:32:49","modified_gmt":"2022-01-21T23:32:49","slug":"5-8-antitussives","status":"publish","type":"chapter","link":"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/chapter\/5-8-antitussives\/","title":{"raw":"5.8 Antitussives","rendered":"5.8 Antitussives"},"content":{"raw":"<h3>Antitussives<\/h3>\r\nAntitussives are frequently used to prevent cold and flu symptoms. In this chapter, we will review one commonly used specific antitussive called Dextromethorphan.\r\n\r\nDextromethorphan is an example of an antitussive (see Figure 5.8<sup>[footnote]\"<a href=\"https:\/\/www.flickr.com\/photos\/jeepersmedia\/16034568990\" target=\"_blank\" rel=\"noopener noreferrer\">Robitussin Cough Cold Flu Congestion decongestant Relief Medicine<\/a>\" by <a href=\"https:\/\/www.flickr.com\/photos\/jeepersmedia\/\" target=\"_blank\" rel=\"noopener noreferrer\">Mike Mozart<\/a> is licensed under<a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\/\" target=\"_blank\" rel=\"noopener noreferrer\"> CC BY 2.0<\/a>[\/footnote]<\/sup>).\r\n\r\n<img class=\"size-full wp-image-1625 aligncenter\" src=\"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-content\/uploads\/sites\/1167\/2019\/11\/16034568990_72d40f246d_w.jpg\" alt=\"\" width=\"400\" height=\"299\" \/>\r\n\r\n<strong>Mechanism of Action<\/strong>\r\n\r\nDextromethorphan suppresses a cough by depressing the cough center in the medulla oblongata or the cough receptors in the throat, trachea, or lungs, effectively elevating the threshold for coughing.\r\n\r\n<strong>Indication for Use<\/strong>\r\n\r\nAntitussives are used for a dry, hacking, nonproductive cough that interferes with rest and sleep.\r\n\r\n<strong>Nursing Considerations Across the Lifespan<\/strong>\r\n\r\nThis medication is not safe for children under the age of 4 years.\r\n\r\n<strong>Adverse\/Side Effects<\/strong>\r\n\r\nThe most common side effects include nausea and drowsiness. Some clients may experience a rash or difficulty breathing. High doses may cause hallucinations and disassociation, and the drug has been reported to be used as a recreational drug.[footnote]Frandsen, G. &amp; Pennington, S. (2018). <em>Abrams\u2019 clinical drug: Rationales for nursing practice <\/em>(11th ed.). Wolters Kluwer.[\/footnote]\r\n\r\n<strong>Client Teaching &amp; Education<\/strong>\r\n\r\nClients should take care to avoid irritants that stimulate their cough.\u00a0 Additionally, antitussive medications can cause drowsiness, and clients should avoid taking them with other CNS depressants or alcohol.<sup>[footnote]uCentral from Unbound Medicine. <a href=\"https:\/\/www.unboundmedicine.com\/ucentral\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.unboundmedicine.com\/ucentral<\/a>[\/footnote]<\/sup>\r\n\r\nNow let's take a closer look at the medication card on dextromethorphan in Table 5.8.<sup>[footnote]This work is a derivative of\u00a0<a href=\"https:\/\/www.oercommons.org\/authoring\/54330-pharmacology-notes-nursing-implications-for-clinic\/view\" target=\"_blank\" rel=\"noopener noreferrer\">Pharmacology Notes: Nursing Implications for Clinical Practice<\/a>\u00a0by\u00a0<a href=\"https:\/\/www.oercommons.org\/profile\/213497\" target=\"_blank\" rel=\"noopener noreferrer\">Gloria Velarde<\/a>\u00a0licensed under\u00a0<a href=\"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/\" target=\"_blank\" rel=\"noopener noreferrer\">CC BY-NC-SA 4.0<\/a>.[\/footnote], [footnote]Frandsen, G. &amp; Pennington, S. (2018).\u00a0<em>Abrams\u2019 clinical drug: Rationales for nursing practice\u00a0<\/em>(11th ed.). Wolters Kluwer.[\/footnote], [footnote]This work is a derivative of\u00a0<a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/\" target=\"_blank\" rel=\"noopener noreferrer\">Daily Med<\/a>\u00a0by\u00a0<a href=\"https:\/\/www.nlm.nih.gov\/\" target=\"_blank\" rel=\"noopener noreferrer\">U.S. National Library of Medicine<\/a><span style=\"font-size: 1em\">\u00a0in the <a href=\"https:\/\/creativecommons.org\/share-your-work\/public-domain\/\" target=\"_blank\" rel=\"noopener noreferrer\">public domain<\/a>. [\/footnote]<\/span><\/sup>\r\n\r\nTable 5.8 Dextromethorphan Medication Card\r\n\r\n<img class=\"alignnone wp-image-1623\" src=\"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-content\/uploads\/sites\/1167\/2019\/11\/Decongestant.jpg\" alt=\"\" width=\"720\" height=\"932\" \/>","rendered":"<h3>Antitussives<\/h3>\n<p>Antitussives are frequently used to prevent cold and flu symptoms. In this chapter, we will review one commonly used specific antitussive called Dextromethorphan.<\/p>\n<p>Dextromethorphan is an example of an antitussive (see Figure 5.8<sup><a class=\"footnote\" title=\"&quot;Robitussin Cough Cold Flu Congestion decongestant Relief Medicine&quot; by Mike Mozart is licensed under CC BY 2.0\" id=\"return-footnote-207-1\" href=\"#footnote-207-1\" aria-label=\"Footnote 1\"><sup class=\"footnote\">[1]<\/sup><\/a><\/sup>).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1625 aligncenter\" src=\"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-content\/uploads\/sites\/1167\/2019\/11\/16034568990_72d40f246d_w.jpg\" alt=\"\" width=\"400\" height=\"299\" srcset=\"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-content\/uploads\/sites\/1167\/2019\/11\/16034568990_72d40f246d_w.jpg 400w, https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-content\/uploads\/sites\/1167\/2019\/11\/16034568990_72d40f246d_w-300x224.jpg 300w, https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-content\/uploads\/sites\/1167\/2019\/11\/16034568990_72d40f246d_w-65x49.jpg 65w, https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-content\/uploads\/sites\/1167\/2019\/11\/16034568990_72d40f246d_w-225x168.jpg 225w, https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-content\/uploads\/sites\/1167\/2019\/11\/16034568990_72d40f246d_w-350x262.jpg 350w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><\/p>\n<p><strong>Mechanism of Action<\/strong><\/p>\n<p>Dextromethorphan suppresses a cough by depressing the cough center in the medulla oblongata or the cough receptors in the throat, trachea, or lungs, effectively elevating the threshold for coughing.<\/p>\n<p><strong>Indication for Use<\/strong><\/p>\n<p>Antitussives are used for a dry, hacking, nonproductive cough that interferes with rest and sleep.<\/p>\n<p><strong>Nursing Considerations Across the Lifespan<\/strong><\/p>\n<p>This medication is not safe for children under the age of 4 years.<\/p>\n<p><strong>Adverse\/Side Effects<\/strong><\/p>\n<p>The most common side effects include nausea and drowsiness. Some clients may experience a rash or difficulty breathing. High doses may cause hallucinations and disassociation, and the drug has been reported to be used as a recreational drug.<a class=\"footnote\" title=\"Frandsen, G. &amp; Pennington, S. (2018). Abrams\u2019 clinical drug: Rationales for nursing practice (11th ed.). Wolters Kluwer.\" id=\"return-footnote-207-2\" href=\"#footnote-207-2\" aria-label=\"Footnote 2\"><sup class=\"footnote\">[2]<\/sup><\/a><\/p>\n<p><strong>Client Teaching &amp; Education<\/strong><\/p>\n<p>Clients should take care to avoid irritants that stimulate their cough.\u00a0 Additionally, antitussive medications can cause drowsiness, and clients should avoid taking them with other CNS depressants or alcohol.<sup><a class=\"footnote\" title=\"uCentral from Unbound Medicine. https:\/\/www.unboundmedicine.com\/ucentral\" id=\"return-footnote-207-3\" href=\"#footnote-207-3\" aria-label=\"Footnote 3\"><sup class=\"footnote\">[3]<\/sup><\/a><\/sup><\/p>\n<p>Now let&#8217;s take a closer look at the medication card on dextromethorphan in Table 5.8.<sup><a class=\"footnote\" title=\"This work is a derivative of\u00a0Pharmacology Notes: Nursing Implications for Clinical Practice\u00a0by\u00a0Gloria Velarde\u00a0licensed under\u00a0CC BY-NC-SA 4.0.\" id=\"return-footnote-207-4\" href=\"#footnote-207-4\" aria-label=\"Footnote 4\"><sup class=\"footnote\">[4]<\/sup><\/a>, <a class=\"footnote\" title=\"Frandsen, G. &amp; Pennington, S. (2018).\u00a0Abrams\u2019 clinical drug: Rationales for nursing practice\u00a0(11th ed.). Wolters Kluwer.\" id=\"return-footnote-207-5\" href=\"#footnote-207-5\" aria-label=\"Footnote 5\"><sup class=\"footnote\">[5]<\/sup><\/a>, <a class=\"footnote\" title=\"This work is a derivative of\u00a0Daily Med\u00a0by\u00a0U.S. National Library of Medicine\u00a0in the public domain.\" id=\"return-footnote-207-6\" href=\"#footnote-207-6\" aria-label=\"Footnote 6\"><sup class=\"footnote\">[6]<\/sup><\/a><\/span><\/sup><\/p>\n<p>Table 5.8 Dextromethorphan Medication Card<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1623\" src=\"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-content\/uploads\/sites\/1167\/2019\/11\/Decongestant.jpg\" alt=\"\" width=\"720\" height=\"932\" srcset=\"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-content\/uploads\/sites\/1167\/2019\/11\/Decongestant.jpg 1700w, https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-content\/uploads\/sites\/1167\/2019\/11\/Decongestant-232x300.jpg 232w, https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-content\/uploads\/sites\/1167\/2019\/11\/Decongestant-791x1024.jpg 791w, https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-content\/uploads\/sites\/1167\/2019\/11\/Decongestant-768x994.jpg 768w, https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-content\/uploads\/sites\/1167\/2019\/11\/Decongestant-1187x1536.jpg 1187w, https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-content\/uploads\/sites\/1167\/2019\/11\/Decongestant-1583x2048.jpg 1583w, https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-content\/uploads\/sites\/1167\/2019\/11\/Decongestant-65x84.jpg 65w, https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-content\/uploads\/sites\/1167\/2019\/11\/Decongestant-225x291.jpg 225w, https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-content\/uploads\/sites\/1167\/2019\/11\/Decongestant-350x453.jpg 350w\" sizes=\"auto, (max-width: 720px) 100vw, 720px\" \/><\/p>\n<div class=\"media-attributions clear\" prefix:cc=\"http:\/\/creativecommons.org\/ns#\" prefix:dc=\"http:\/\/purl.org\/dc\/terms\/\"><h2>Media Attributions<\/h2><ul><li >16034568990_72d40f246d_w       <\/li><li >Antitussives       <\/li><\/ul><\/div><hr class=\"before-footnotes clear\" \/><div class=\"footnotes\"><ol><li id=\"footnote-207-1\">\"<a href=\"https:\/\/www.flickr.com\/photos\/jeepersmedia\/16034568990\" target=\"_blank\" rel=\"noopener noreferrer\">Robitussin Cough Cold Flu Congestion decongestant Relief Medicine<\/a>\" by <a href=\"https:\/\/www.flickr.com\/photos\/jeepersmedia\/\" target=\"_blank\" rel=\"noopener noreferrer\">Mike Mozart<\/a> is licensed under<a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\/\" target=\"_blank\" rel=\"noopener noreferrer\"> CC BY 2.0<\/a> <a href=\"#return-footnote-207-1\" class=\"return-footnote\" aria-label=\"Return to footnote 1\">&crarr;<\/a><\/li><li id=\"footnote-207-2\">Frandsen, G. &amp; Pennington, S. (2018). <em>Abrams\u2019 clinical drug: Rationales for nursing practice <\/em>(11th ed.). Wolters Kluwer. <a href=\"#return-footnote-207-2\" class=\"return-footnote\" aria-label=\"Return to footnote 2\">&crarr;<\/a><\/li><li id=\"footnote-207-3\">uCentral from Unbound Medicine. <a href=\"https:\/\/www.unboundmedicine.com\/ucentral\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.unboundmedicine.com\/ucentral<\/a> <a href=\"#return-footnote-207-3\" class=\"return-footnote\" aria-label=\"Return to footnote 3\">&crarr;<\/a><\/li><li id=\"footnote-207-4\">This work is a derivative of\u00a0<a href=\"https:\/\/www.oercommons.org\/authoring\/54330-pharmacology-notes-nursing-implications-for-clinic\/view\" target=\"_blank\" rel=\"noopener noreferrer\">Pharmacology Notes: Nursing Implications for Clinical Practice<\/a>\u00a0by\u00a0<a href=\"https:\/\/www.oercommons.org\/profile\/213497\" target=\"_blank\" rel=\"noopener noreferrer\">Gloria Velarde<\/a>\u00a0licensed under\u00a0<a href=\"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/\" target=\"_blank\" rel=\"noopener noreferrer\">CC BY-NC-SA 4.0<\/a>. <a href=\"#return-footnote-207-4\" class=\"return-footnote\" aria-label=\"Return to footnote 4\">&crarr;<\/a><\/li><li id=\"footnote-207-5\">Frandsen, G. &amp; Pennington, S. (2018).\u00a0<em>Abrams\u2019 clinical drug: Rationales for nursing practice\u00a0<\/em>(11th ed.). Wolters Kluwer. <a href=\"#return-footnote-207-5\" class=\"return-footnote\" aria-label=\"Return to footnote 5\">&crarr;<\/a><\/li><li id=\"footnote-207-6\">This work is a derivative of\u00a0<a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/\" target=\"_blank\" rel=\"noopener noreferrer\">Daily Med<\/a>\u00a0by\u00a0<a href=\"https:\/\/www.nlm.nih.gov\/\" target=\"_blank\" rel=\"noopener noreferrer\">U.S. National Library of Medicine<\/a><span style=\"font-size: 1em\">\u00a0in the <a href=\"https:\/\/creativecommons.org\/share-your-work\/public-domain\/\" target=\"_blank\" rel=\"noopener noreferrer\">public domain<\/a>.  <a href=\"#return-footnote-207-6\" class=\"return-footnote\" aria-label=\"Return to footnote 6\">&crarr;<\/a><\/li><\/ol><\/div>","protected":false},"author":103,"menu_order":8,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":["open-resources-for-nursing-open-rn"],"pb_section_license":""},"chapter-type":[48],"contributor":[68],"license":[],"class_list":["post-207","chapter","type-chapter","status-publish","hentry","chapter-type-numberless","contributor-open-resources-for-nursing-open-rn"],"part":182,"_links":{"self":[{"href":"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-json\/pressbooks\/v2\/chapters\/207","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-json\/wp\/v2\/users\/103"}],"version-history":[{"count":9,"href":"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-json\/pressbooks\/v2\/chapters\/207\/revisions"}],"predecessor-version":[{"id":2421,"href":"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-json\/pressbooks\/v2\/chapters\/207\/revisions\/2421"}],"part":[{"href":"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-json\/pressbooks\/v2\/parts\/182"}],"metadata":[{"href":"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-json\/pressbooks\/v2\/chapters\/207\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-json\/wp\/v2\/media?parent=207"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-json\/pressbooks\/v2\/chapter-type?post=207"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-json\/wp\/v2\/contributor?post=207"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-json\/wp\/v2\/license?post=207"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}