Rx
Notes
In emergency
Disease annotations
Rx
Moderate : (T= 38-38.5C)
- Brufen 400mg tablet 1 x 3 until fever subside
- Get plenty of rest
- Drink cool drinks to soothe the throat.
- Gargle with warm salty water 3 times daily
Notes
Brufen
- Analgesic and antipyretics
- Has anti-inflammatory effect
- Suitable for Temperature( 38-38.5) C
- Not save under 6 months
- Taken After meal
Trade names : brufen (Taskine , Doloraz, Iburam, Remofen , Ibugesic, Sapofen, Perofen, Rupan, Bulkaprofen, Advil liquid-gel , Profast, Nashat ,Midofen, Ibusoft).
Other concentration: 800mg and 400mg tablet 600mg tablet, 100mg/5ml syrup
Dose:
Tablets :
- 200mg every 6-8 hours, May increase to 400mg every 6-8hours
Syrup, suspension :
- 100mg/5ml Syrup(Wx0.375) every 6-8hours
Oral drops :
40mg/1ml
- 6-11 months : 1.25ml every 8 hours
- 12-23months : 1.8ml every 8 hours
Maximum dose : 3200 mg per day
Contraindication:
- History of hypersensitivity to aspirin or other NSAIDs
- current or recent stomach ulcer
- severe heart failure.
- severe liver disease
Pregnancy : not usually recommended in pregnancy
In emergency
In Emergency room:
Give antipyretic:
- Perflgan 1g/100ml intravenous injection :
Dose:
Pediatrics:
- <10kg : 0 .75ml/kg
- >10kg , <50kg : 1.5ml/kg
- >50kg : 100ml Slowly over 15 minute
Adult:
- 100ml Slowly over 15 minute
OR
- Diclofenac sodium injection 75 mg/3ml intramuscular injection :
Dose:
Pediatrics:
- > 1year : 1ml/20kg every 12 hour .
Adult:
- 25 to 75 mg(1-3ml) depending on the severity pain.
- If the pain still severe, you may decide to give a second injection after 6 hours.
Disease annotations
Viral tonsillitis
Presentation :
- Sore throat
- Red, swollen tonsils.
- Trouble swallowing
- Swollen glands in the neck
- Fever
- Bad breath
- Cough
Other symptoms in children :
- Upset stomach
- Vomiting
- Stomach pain
- Drooling
- Not wanting to eat or swallow
Lines of Management :
- Get plenty of rest
- Drink cool drinks to soothe the throat.
- Gargle with warm salty water 3 times daily
- Antipyretics