> #medical , #paediatrics , #pediatrics > Describe pre- referral treatment for treatment of severe malaria in a child of 20kg,state three complications of severe malaria,write down treatment of each complication?
Anonymous
May 25

Describe pre- referral treatment for treatment of severe malaria in a child of 20kg,state three complications of severe malaria,write down treatment of each complication?

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ChatGPT
May 25
Pre-referral treatment for severe malaria in a child of 20kg may include the following steps:

1. Administering intravenous artesunate or quinine to rapidly reduce the parasite load in the blood.
2. Providing supportive care such as intravenous fluids to maintain hydration and electrolyte balance.
3. Monitoring vital signs and blood glucose levels closely.

Three complications of severe malaria include:

1. Cerebral malaria: This can lead to seizures, coma, and neurological deficits.
Treatment: Administering anticonvulsants for seizures, and providing supportive care for coma and neurological deficits.

2. Severe anemia: Malaria can cause destruction of red blood cells leading to anemia.
Treatment: Blood transfusion may be necessary to replace lost red blood cells and improve oxygen delivery to tissues.

3. Acute respiratory distress syndrome (ARDS): Severe malaria can lead to lung injury and respiratory failure.
Treatment: Providing oxygen therapy and mechanical ventilation if necessary to support breathing and improve oxygenation.

It is important to seek prompt medical attention and referral to a higher level of care for children with severe malaria to prevent complications and improve outcomes.
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G
Google Gemini AI
May 25
Pre-Referral Treatment for Severe Malaria in a Child of 20kg

- Medication:
- Artesunate injection: 2.4 mg/kg intramuscularly (IM)
- Quinine injection: 10 mg/kg IV or IM, followed by 10 mg/kg IM every 8 hours
- Supportive Care:
- Maintain adequate hydration with intravenous fluids
- Monitor vital signs and blood glucose levels
- Treat fever with antipyretics

Complications of Severe Malaria

- Cerebral Malaria: Coma or impaired consciousness
- Treatment:
- Mannitol infusion
- Dexamethasone
- Anticonvulsants (e.g., phenobarbital or phenytoin)
- Severe Anemia: Hemoglobin <5 g/dL
- Treatment:
- Blood transfusion
- Intravenous iron supplements
- Hypoglycemia: Blood glucose <40 mg/dL
- Treatment:
- Intravenous glucose
- Oral or rectal sugar
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