Severe Pneumonia or SARI (continued)

Anti-pyretic and analgesics:

• Adults 
• Paracetamol 1g paracetamol PO (using Nasogastric Tube (NGT)) every 6–8 hours Maximum 4g/ 24hr
• For analgesics purpose tramadol 50–100 mg PO/IV every 4–6 hours as needed, daily maximum 400 mg/day can be given alternatively or combined with paracetamol
• Children 
• Paracetamol 10–15mg/kg every 6 hourly, maximum dose 60 mg/kg/day
• Children > 6 months 
• for analgesics purpose tramadol 1–2 mg/kg every 4–6 hours, maximum 400 mg/day can be given alternatively or combined with paracetamol
• Close monitoring for signs of clinical deterioration such as respiratory failure, sepsis/ septic shock has to be done for early management of such complications