URI
SX â nasal stuffiness, sneezing, sore throat, cough, hoarseness.
PE â
HEENT.
Lungs.
Next Steps
DX â (if nec) CBC, nasal smear for eosinophils, Sputum GS/Cx, CXR.
Health Tips
TX â Fluids. Decongestants: Medium: Afrin nasal spray, 0.05, 2-3 sprays/nostril q12h. Strong: Mometasone or Fluticasone nasal: 50 mcg/spray, 2 sprays/nostril qd. Also: Pseudoephedrine 60 mg PO q4-6h prn. Expectorants: Mild: Benzonatate, Guaifenesin/Dextromethorphan. Medium: Promethazine with Codeine, 6.25/10/5 mL, 5 mL PO q4-6h prn. Strong: Chlorpheniramine/Hydrocodone, 8/10/5 mL ER susp, 5 mL PO q12h. Antihistamines: Cetirizine 10 mg PO qd. Fexofenadine 180 mg PO qd. Loratadine 10 mg PO qd. Antibiotics: (if there is colored sputum). Medium: Azithromycin, 500 mg PO x1 on day 1, then 250 mg PO q24h x4 days. Strong: Levofloxacin, 750 mg PO/IV q24h x5 days, Augmentin 500/125 BID for 5 days.