CLINICAL MANAGEMENT GUIDELINE

Acute rhinosinusitis

ICD10: Acute sinusitis, unspecified [J01.90]

Treatment: Supportive ( for mild viral infection)

It is a mucosal inflammation of the nose and sinuses in less than 4 weeks.


self-limiting disease, and treatment is primarily symptomatic. The disease course is usually less than 10 days, Treatments should be tried for 5 to 10 days before re-assessing the patient. Antibiotics are not recommended in patients with suspected acute viral sinusitis.

Treatments

Level 1 / 2
pharmacological
Acetaminophen
ROUTE
Oral
DOSE
1.000 g/day
FREQUENCY
q4-q6 hr PRN
pharmacological
Ibuprofen
ROUTE
Oral
DOSE
0.300 g/day
FREQUENCY
q4-q6 hr PRN
pharmacological
Pseudoephedrine
ROUTE
Oral
DOSE
40.000 mg
FREQUENCY
q4-q6 hr PRN
pharmacological
Oxymetazoline
ROUTE
nasal
DOSE
1.000 spray
FREQUENCY
BID PRN
prevention
Steam inhalations
procedures
Recommendation to rest

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