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Fever

 FEVER

fevertreatment


When a patient presents with fever, check the temperature with thermometer. It is an important record.

Most fevers encountered in General Practice are viral, self limiting and require only symptomatic treatment.

Symptomatic treatment

  1. Tab. Crocin 1 (Paracetamol)
  2. Inj. Febrex 2cc IM if fever >100⁰C or 38⁰C 
  3. Tab Trap 1 BD or TDS of bodyache (Tramadol ) or combinations with NSAIDs. , Ibuprofen + Paracetamol eg. Ibuflamar . P., Tramadol + Paracetamol eg. Ultracet, Calpol-T
  4. Tab. CZ-3 1OD if colds (Anti-histaminics )
  5. General measures
  • cold compresses or icebag - over forehead, axillae, neck etc. (fore detail , contact us )
  • bed rest with blanket.
  • semi solid or liquid diet, Avoid cold water,
  • Avoid exposure to wind. Avoid bath - only sponging.

Before  labeling a fever as viral, you must look for (as a compulsory routine) pallor, jaundice, Neck stiffness, Abdomen for liver & spleen and auscultate the chest.

If there is a running epidemic eg. Malaria, influenza, viral hepatitis or typhoid in the locality, then that cause must be thought of first.

Though many of the fever are viral and harmless, the parctitioner must be aware of  the common causes of fever, and the symptoms & warning signals suggesting that this may not be a simple fever. You should always try to find the cause of the fever by evaluating the associated symptoms.

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