Table 3

Nurse treatment protocol for patients with sore throat
Signs of alarm Symptoms for more than 7 days
Temperature >40°C or >38°C for more than 3 days
Presence of asthma or chronic pulmonary obstructive disease
Shortness of breath
Abnormal lung auscultation
Cardiac disease
Diabetes mellitus
Ear pain
Chest pain
Lesions in the mouth or pharyngeal cavity or pharyngeal deformity suggestive of peritonsilar abscess
Lack of improvement in patients with previous treatment
Altered general condition
Local lymph nodes without pharyngeal exudate
Pregnancy or lactation
Anticoagulation therapy
Immunosuppressive therapy
Treatment approach 1. Hygiene recommendations: increased fluid intake, no smoking, warm lemon water gargles, refrain from excess of carbohydrates.
2. Paracetamol 500/1,000 mg tid or ibuprofen 400/600 mg tid. In patients with intolerance to NSAIDs, renal or cardiac failure, hypertension, ulcer disease, age >65 yr or allergy to NSAIDs, paracetamol should be given.
3. If fever and pharyngeal exudates are present penicil.lin or fenoximethylpenicillin 500 mg bid for 8–10 days or amoxicillin 500 mg tid for 7 days. Erithromycin 500 mg qid for 8–10 days in patients with known allergy to penicillin.

Fabrellas et al.

Fabrellas et al. BMC Family Practice 2013 14:61   doi:10.1186/1471-2296-14-61

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