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Discussion

Cold/Flu Protocol

We're heading into cold and flu season. I work at an Urgent Care Center and I'm wondering how the docs you work with treat people with cold/flu symtoms?

At our clinic, they almost always do a blood work up...

Then based on that they'll prescribe antibiotics (or not). Usually they write a script for pills.

We usually give an IM shot of phenergan if the patient is vomiting and nauseous.

If the symptoms are more upper respiratory, occassionally the doc orders a "sinus cocktail" IM injection.

If there are throat problems, the doc writes a script for cough syrup too.

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What's a sinus cocktail?

Unless you have a bacterial goop, abx are pretty useless and give the bugs something else to be resistant to. It's good to be able to describe your......nasal output shall we say- colorwise that is.

APAP or IB, cough syrup &/or decongestant, tessalon perles for hacking non productive cough. Nausea usually is Phen. supp rather than injection. That way the patient has something for nausea at 3 am rather than having to wait it out or go to the ER.

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