SYMPTOM SIGNS COMPLICATION

Infants: fussiness, Fever Acute otitis media

difficulty feeding, Nasal discharge Sinusitis
decreased appetite, and Erythema and swelling of Pneumonia
difficulty sleeping the nasal mucosa BAIAE
Children and Adult: Hoarseness
headache, sneezing, Anterior cervical
nasal congestion, nasal adenopathy
discharge, and cough, Ear Conjunctival injection
fullness

SUPPORTIVE NASAL OBSTRUCTION RHINORRHEA COUGH FEVER

 Maintaining adequate oral  Oxymetazoline nasal drops  First-generation  Cough may be a result of  Paracetamol 10-15mg/kg/
hydration or spray, 2-3drops/spray antihistamines may reduce virus-induced reactive dose every 4 hours as
o Soothe the mucosa, per nostril BID rhinorrhea by 25-30% due airway disease needed for fever
increase nasal mucus  Phenylephrine-containing to cholinergic effects  Might benefit from
flow or loosen preparations (2-6yr 2.5mL,  Second Generation: no bronchodilator or other
respiratory secretion 7-12 yr 5mL, >12yr 10mL; effect because no therapy
 Topical nasal saline all doses to be taken q6h) cholinergic effect
o 0.65% NaCl nasal drops  Prolonged use should be o Loratadine-containing
(for children less than 3 avoided to prevent the preparations (>30kg BW
years old) or spray (for development of Rhinitis 5mL, <30kg BW 2.5mL;
older children) medicamentosa all doses to be taken
 Zinc q12h)
o Reduces the duration
but not the severity
o Inhibits human
rhinovirus (HRV) 3C
protease, an essential
enzyme for HRV
replication