A>T/C Acute Tonsillitis

P>DIET: Regular to Soft diet, Increase fluid intake

LABS: CBC w/ PC
MEDS:
1. Paracetamol drops 100mg/ml, give ?ml every 4 hours as needed for fever
Paracetamol syrup 250mg/5ml, give ?ml every 4 hours as needed for fever
Paracetamol 500mg/tab, take 1 tab every 4 hours as needed for fever

2. CO-AMOXICLAV 30mg/kg/DAY BID (<3months); 20-40mg/kg/DAY TID or 25-45mg/kg/DAY

BID (>3months)
Co-amoxiclav drops 62.5mg/ml, give ?ml every 8 hours for 7 days
Co-amoxiclav suspension 156.25mg/5ml, give ?ml every 8 hours for 7 days
Co-amoxiclav suspension 228.5mg/5ml, give ?ml every 8 hours for 7 days
Co-amoxiclav suspension 312.5mg/5ml, give ?ml every 12 hours for 7 days
Co-amoxiclav suspension 457mg/5ml, give ?ml every 12 hours for 7 days
Co-amoxiclav 625mg/tablet, 1 tablet every 12 hours for 7 days (>12 or adult mild-
mod)
Co-amoxiclav 625mg/tablet, 1 tablet every 8 hours for 7 days (>12 or adult severe,
lower respi)
Co-amoxiclav 1000mg/tablet, 1 tablet every 12 hours for 7 days

3. CEFALEXIN 25-100mg/kg/DAY QID (50-100mg for severe infections and otitis media)
Cefalexin drops 100mg/ml, give ml? 4 times a day or every 6 hours for 7 days
Cefalexin suspension 125mg/5ml, give ?ml 4 times a day or every 6 hours for 7 days
Cefalexin suspension 250mg/5ml, give ?ml 4 times a day or every 6 hours for 7 days
Cefalexin 500mg/capsule, take 1 capsule 4 times a day or every 6 hours for 7 days

4. AZITHROMYCIN 10 mg/kg/DAY OD for 3 days or 10mg/kg/DAY at day 1 then 5 mg/kg/DAY

for days 2 to 5, maximum dose of 500mg/day
Azithromycin suspension 200mg/5ml, give ?ml once a day for 3 days
Azithromycin suspension 200mg/5ml, give ?ml for day 1 then ?ml for days 2 to 5 once
a day
Azithromycin 500mg/tablet, take 1 tablet once a day for 3 days
Azithromycin 500mg/tablet, take 1 tablet for DAY 1
Azithromycin 250mg/table, take 1 tablet for DAYS 2 to 5 once a day

5. CLARITHROMYCIN 15 mg/kg/DAY, maximum dose of 1000 mg/DAY in BID for 7 days

Clarithromycin 125mg/5ml, give ?ml twice a day or every 12 hours for 7 days
Clarithromycin 250mg/5ml, give ?ml twice a day or every 12 hours for 7 days
Clarithromycin 500mg/tablet, take 1 tablet twice a day or every 12 hours for 7 days

6. Kamillosan spray, 2 sprays three times a day as needed for throat pain

7. Benzydamine lozenge, 1 lozenge every 1 to 2 hours as needed for throat pain

ADVISE: Good oral hygiene, Bactidol gargle very after meal, Consult to ENT for
possible tonsillectomy if conditions are met or if with severe symptoms
FOLLOW UP: once with results or as needed