Fever with Chills Think of Malaria and Urinary Infection In endemic areas, Rule out filariasis, (and if no cause is apparent, think of hidden abscess) Ask for Blood smear for M.P., Urine, Hb% & WBC. A. If chills & shivering is severe, OR If fever comes on alternate days, or at the same time everyday OR If spleen is palpable, suspect malaria. Tab. Resochin 4 stat, 2 after 6 hrs, then 2 daily * 2 days To be taken after food , with antacids ( Chloroquine ) Tab. Reglan 1 tds, if nausea & vomiting due to chloroquine ( Metoclopramide ) Tab. Primaquine 7.5mg * 2 tabs daily * 14 days (for radical cure in PI. Vivax infection ). If P. Falciparum Malaria Tab. Resochin 4-2-2-2 as above ( Chloroquin ) with antacid & antiemetic. To take care of chloroquine Resistance, add two of the following drugs- Tab. Falcigo 50mg 2 bd * 1, then 1 od * 4. OR Cap. Larither 40mg bd * 1 , then 1 od * 4 ( Artemether ) Tab. Quininga 300mg 1 tds * 10days ( Quinine) Tab. Amlar 3 tabs st...
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