Malaria


 * Malaria treatment **

Quinine sulfate*7 days + tetra of doxy or clinda 7days Ex. Quinine sulfate(650mg(salt)(542mgbase)) oral tid pc Tetramycin(250mg) qid 7days (หรือ Doxy100 mg bid) เด็ก QS 10mg/kg Clinda 20mg/kg/dose tid 7days Lab **Blood sugra CBC BUN Cr E’LYTE SGOT SGPT** Ex. Case fever 4 day ตรวจพบ //P.falciparum// day 1 .Quinine gr X in 5%D/W 50 cc in 3 hr drip q 8hr doxy 1*2 pc day 2 .Quinine gr X in 5%D/W 50 cc in 3 hr drip q 8hr day3. Quinine gr X in 5%D/W 50 cc in 3 hr drip q 8hr จนกว่ากินได้ดี day 4. Quinine 2*3 pc 42t doxy 1*2 pc 14 day 10 hct 32 wbc 6200 plt 58000 N 58 L 33 Mo 7 hypo 1+ macro few micro few poly few ovalocyte 1+ 9 hct 35 wbc 5900 plt 71000 hypo1+ macro few micro 2+ ovalo 1+ <span style="font-family: Tahoma,sans-serif; font-size: 10pt;">11 hct 30 wbc 2400 plt 28000 n 78 l 19 mo3 hypo 1 macro 1 mico few Malaria plasmodium falciparum __<span style="font-family: Tahoma,sans-serif; font-size: 10pt;">second line drug __ //<span style="font-family: Tahoma,sans-serif; font-size: 10pt;">Chloroquine phosphate //<span style="font-family: Tahoma,sans-serif; font-size: 10pt;"> 600mg base(1000mg salt) stat then 300mg base at 6, 24,48 hrs <span style="font-family: Tahoma,sans-serif; font-size: 10pt;">ดูระดับน้ำตาล ซีด electrolyte ต่อเนื่อง
 * <span style="font-family: Tahoma,sans-serif; font-size: 10pt;">Plasmodium falciparum **
 * <span style="font-family: Tahoma,sans-serif; font-size: 10pt;">Ex.complicated malaria **

//<span style="font-family: Tahoma,sans-serif; font-size: 10pt;">Chloroquine phosphate //<span style="font-family: Tahoma,sans-serif; font-size: 10pt;"> ( tab 250mg salt = 150mg base) <span style="font-family: Tahoma,sans-serif; font-size: 10pt;">Sig. 600 mg oral stat then 300mg at 6, 24,48 hrs <span style="font-family: Tahoma,sans-serif; font-size: 10pt;">Sig. 4tab stat then 2 tab at 6,24,48 hr <span style="font-family: Tahoma,sans-serif; font-size: 10pt;">+ //Primaquine phosphate// 30 mg base (tab 26.3mg salt = 15mg base) <span style="font-family: Tahoma,sans-serif; font-size: 10pt;">Sig 30 mg oral qid 14 days <span style="font-family: Tahoma,sans-serif; font-size: 10pt;">Pregnancy **ห้าม tetra, doxy, primaquine** <span style="font-family: Tahoma,sans-serif; font-size: 10pt;">ส่วน quinine, chloroquine ได้
 * <span style="font-family: Tahoma,sans-serif; font-size: 10pt;">Plasmodium vivax of Ovale **

<span style="font-family: Tahoma,sans-serif; font-size: 10pt;">Malaria from CDC [|Malaria Home] [|Diagnosis and Treatment] <span style="font-family: Tahoma,sans-serif; font-size: 10pt;">Treatment of Malaria (Guidelines For Clinicians <span style="font-family: Tahoma,sans-serif; font-size: 10pt;"> [|PDF] [|Download PDF version of Parts 1-3 formatted for print] (134 KB/9 pages) <span style="font-family: Tahoma,sans-serif; font-size: 10pt;">Part 1: ** [|Reporting § Epidemiology § Evaluation and Diagnosis] ** <span style="font-family: Tahoma,sans-serif; font-size: 10pt;">Part 2: ** [|Treatment: General Approach § Treatment: Uncomplicated Malaria] ** <span style="font-family: Tahoma,sans-serif; font-size: 10pt;">Part 3: ** [|Alternatives for Pregnant Women § Treatment: Severe Malaria] ** <span style="font-family: Tahoma,sans-serif; font-size: 10pt;">Treatment Guidelines Table** <span style="font-family: Tahoma,sans-serif; font-size: 10pt;">Treatment summary in tabular form (Updated March 6, 2007) <span style="font-family: Tahoma,sans-serif; font-size: 10pt;"> [|PDF] [|Download PDF version formatted for print] (71 KB/3 pages)

<span style="font-family: Tahoma,sans-serif; font-size: 10pt;">chloroqiune dose: @http://whatsthedose.com/spl/0115-2790.html primaquine dose: @http://whatsthedose.com/spl/0024-1596.html

quinine sulfate : http://whatsthedose.com/spl/13310-153.html quinine gluconate: @http://whatsthedose.com/spl/0002-1407.html