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    BY Georgin Georson Pharm D

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    REETHU
    A 19-year-old girl was admitted to the hospital with fever, chills, sweating, headache and loss of appetite. She was diagnosed with Plasmodium vivax malaria based on her symptoms, medical history of malaria, and laboratory test results. She was treated with chloroquine and primaquine for vivax malaria and symptom relief medications. Her symptoms improved and she was discharged after two days with instructions to complete the full course of primaquine and follow-up after two weeks.

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    BY Georgin Georson Pharm D

    Uploaded by

    REETHU
    74 views19 pages
    A 19-year-old girl was admitted to the hospital with fever, chills, sweating, headache and loss of appetite. She was diagnosed with Plasmodium vivax malaria based on her symptoms, medical history of malaria, and laboratory test results. She was treated with chloroquine and primaquine for vivax malaria and symptom relief medications. Her symptoms improved and she was discharged after two days with instructions to complete the full course of primaquine and follow-up after two weeks.

    Original Description:

    Malaria

    Original Title

    Malaria

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    A 19-year-old girl was admitted to the hospital with fever, chills, sweating, headache and loss of appetite. She was diagnosed with Plasmodium vivax malaria based on her symptoms, medical history of malaria, and laboratory test results. She was treated with chloroquine and primaquine for vivax malaria and symptom relief medications. Her symptoms improved and she was discharged after two days with instructions to complete the full course of primaquine and follow-up after two weeks.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    74 views19 pages

    BY Georgin Georson Pharm D

    Uploaded by

    REETHU
    A 19-year-old girl was admitted to the hospital with fever, chills, sweating, headache and loss of appetite. She was diagnosed with Plasmodium vivax malaria based on her symptoms, medical history of malaria, and laboratory test results. She was treated with chloroquine and primaquine for vivax malaria and symptom relief medications. Her symptoms improved and she was discharged after two days with instructions to complete the full course of primaquine and follow-up after two weeks.

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    You are on page 1of 19

    BY

    GEORGIN GEORSON
    PHARM D
    A 19 year old girl, was admitted
    in the hospital on 27 June and
    was discharged on 29th June
    2012 with c/o fever with
    recurrent chills and rigor
    associated with intermittent
    episodes of sweating following
    which fever reduces. It is
    associated with headache and
    loss of appetite. H/O Malaria in
    PRESENTING COMPLAINTS:
    * Fever with chills and rigor
    * Episodes of sweating
    * Headache
    * Loss of appetite
    PAST MEDICAL HISTORY :
    * NIL
    *DIETIC HISTORY- Normal appetite

    *SOCIO ECONOMIC HISTORY : Middle Class


     On examination , patient was conscious
    PULSE 108beats/min
    RR 22/min
    BP 130/100mmHg
    Hb 12.5g%
    PCV 36.8%
    T.WBC 10,500cu.mm
    DC.POLYMORPHS 77%
    DC.LYMPHOCYTES 19%
    DC.EOISINOPHIL 4%
    ESR 33mm/hr
    PLATELETS 1 lakhs/cu.mm
    RBS 106 mg/dL

    UREA 25 mg/dL

    CREATININE 5.4mg/dL

    Serum Sodium 137 mmol/L

    Serum Potassium 4.1 mmol/L


    DATE 27/06/2012 28/06/2012 29/06/2012

    TEMP. 104◦F 103◦F 98.6◦F


     RBC : Normocytic and Normochromic, some
    RBC show ring, amoeboid and shizonts of P.
    vivax

     WBC : Count towards upper limit of normal


    with more NEUTROPHIL

     PLATELET : Seen singly , moderate


    decrease in number
    »SYSTEMIC EXAMINATION:

    RS: B/L air entry equal, NVBS, No added sound.


    .
    CVS: S₁S₂ heard, Tachycardia

    CNS: No FND. HMF normal


    »Problem 1 :
    MPlasmodium vivaxALARI
    DRUGS GENERIC CLASS ADR INTERCTIONS
    NAME

    T.Dolo Paracetamol NSAID Nausea,vomit


    ting,hepatoto
    xicity
    T,Rabewun Rabeprazole Proton Pump Vomitting,Dia
    Inhibitor rrhoea
    T.Emeset Omdansetron Anti emetic Pruritis,Rash,
    Diarrhoea
    T.Chloroquine Chloroquine Anti Malarial Nausea,vomit
    ting
    ,anorexia,itch
    ing
    T.Primaquine Primaquine Anti Malarial GI Hemolysis in
    upset,abdomi G6PD
    nal pain deficient
    patients
    DATES

    BRAND NAME GENERIC DOSE FREQUE ROUT 27/0 28/0 29/0


    NAME NCY E 6 6 6
    TAB. DOLO PARACETAMOL 650mg SOS ORAL √ √

    TAB. RABEWUN RABEPRAZOLE 20mg 1-0-0 ORAL √ √

    TAB.EMESET ONDANSETRON 4mg sos ORAL √

    TAB. CHLOROQUIN CHLOROQUINE 250mg 4-4-2 ORAL √

    INJ. EMESET ONDANSETRON STAT IV √

    TAB. PRIMAQUINE PRIMAQUINE 15mg OD ORAL √ √


    TAB. 15mg OD X 14
    PRIMAQUINE DAYS (7.5mg Tab X
    2)
    TAB. DOLO 650mg SOS

    TAB. RABEWUN 20mg 1-0-0 X 1


    week
    TAB.EMESET 4 mg SOS

    REVIEW AFTER 2 WEEKS


    • Proper medication adherence
    • Application of malaria prevention methods such
    as sleep under Insecticide Treated Nets (ITNs).
    • Avoid stagnation of water and avoid usage of
    contaminated water
    • Drink plenty of fluids to avoid dehydration
    COUNSELLING :

    * Malaria is treatable and curable by effective


    antimalarials.
    *Malaria can also be transmitted through blood
    transfusion if the blood contains malaria parasites
    Usage of primaquine can cause dark coloration of
    urine which can alarm patients
    Malaria in pregnant women can cause weakening and
    anaemia
    Usage of primaquine in G6PD deficient patients can
    cause haemolysis
     CIMS
     DIPIRO
    HANDBOOK
     www.webmed.com
     www.medscape.com

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