A. Cough/ URI

1. Assess cough.
2. Auscultate chest sounds, examine ears, throat, and cervical nodes.
3. Take temperature and respiration rate.
4. Review PMH for asthma or allergies.
5. If cough is productive and interfering with sleep or daily activities may administer generic Robitussin or Mucinex as noted in the medication list..
6. If cough is non-productive and interfering with sleep or daily activities may administer generic Robitussin DM or Mucinex Das noted in the medication list.
7. If cough is accompanied by chest pain, fever, back pain, or an abnormal lung exam (wheezes, rales or rhonchi) notify physician.

B. Nasal Congestion and Allergies

1. Assess symptoms
2. Encourage fluids and rest as deemed appropriate.
3. If cough or congestion interferes with sleep or activities and physical exam is otherwise normal, may offer Chlortrimeton, Claritin, Mucinex D or Sudafed, as recommended for age / weight.
4. Observe patient, and notify physician if symptoms continue for greater than 10 days, or, within 24 hours if there is fever or patient’s symptoms are worsening.

C. Allergic Reactions

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1. Mild localized reaction (swelling, itching, redness or hives) may apply ice to site or give appropriate dose of Benadryl. Observe for any signs of systemic reaction for 12-24 hours. May also apply topical remedies such as calamine or hydrocortisone 1%.

D. Asthma

1. Follow patient’s treatment plan for use of inhalers if already in existence.
2. Obtain vital signs, including peak flow measurement.
3. Listen to breath sounds and audible wheezing; observe for retractions or respiratory distress.
4. If no treatment plan, and mild, have patient rest with continued monitoring.
5. Give ventolin/albuterol inhaler if ordered.
6. Notify physician.