Drug of Choice of mild malaria is CoArtem ..
Drug of Choice of Severe malaria is artesunate , the alternative is Quinine + Doxycycline
#باطنة
Drug of Choice of Severe malaria is artesunate , the alternative is Quinine + Doxycycline
#باطنة
شرح الدكتور أمين عبدالرب :-
علاج ال Cerebral malaria :-
Quinine
Artesenate
Arthemeter
---
Quinine in Glucose infusion ( 5% )
10 mg / kg > 3×1 ( during 4 hours )
لانه نخاف من ال Arrhythmia
وفي Glucose لانه يعمل Hypoglycemia
و repeat every 8 hours
For 6 days .
_
After finishing
Doxycycline, of fansidar
_
Arthemeter : fat soulable ( I.M )
Artesunate :- water soluble ( Anti- schistosoma)
___
Primaquine >>> Anti- gametocye for community eradication
Induce Heamolysis / agranyloctosis
( vivax / ovale >> in hypnotic stage )
لكن اليمن صارت Resistance لهذا ما عاد يستخدموه .
___
Mild malaria , moderate :-
Combination for 3 days
Quartam ( Artemether/lumefantrine)
:- 4 tablets / 2 / 3
احسن علاج و مافيش side effect زيادة
Malarone (Atovaquone/proguanil )
:- 2 ×2 ×3
Of Fansidar + artesenate
Or Fansidar + Mefloquine
____
Fansidar side effects :-
Bone marrow depression
Steven Johnson syndrome ( as a hypersensitivity reaction)
#malaria
#باطنة
علاج ال Cerebral malaria :-
Quinine
Artesenate
Arthemeter
---
Quinine in Glucose infusion ( 5% )
10 mg / kg > 3×1 ( during 4 hours )
لانه نخاف من ال Arrhythmia
وفي Glucose لانه يعمل Hypoglycemia
و repeat every 8 hours
For 6 days .
_
After finishing
Doxycycline, of fansidar
_
Arthemeter : fat soulable ( I.M )
Artesunate :- water soluble ( Anti- schistosoma)
___
Primaquine >>> Anti- gametocye for community eradication
Induce Heamolysis / agranyloctosis
( vivax / ovale >> in hypnotic stage )
لكن اليمن صارت Resistance لهذا ما عاد يستخدموه .
___
Mild malaria , moderate :-
Combination for 3 days
Quartam ( Artemether/lumefantrine)
:- 4 tablets / 2 / 3
احسن علاج و مافيش side effect زيادة
Malarone (Atovaquone/proguanil )
:- 2 ×2 ×3
Of Fansidar + artesenate
Or Fansidar + Mefloquine
____
Fansidar side effects :-
Bone marrow depression
Steven Johnson syndrome ( as a hypersensitivity reaction)
#malaria
#باطنة
First-line medications for primary hypertension are thiazide diuretics, ACEIs, ARBs, and CCBs.
#باطنة
#باطنة
Surgical notes
First-line medications for primary hypertension are thiazide diuretics, ACEIs, ARBs, and CCBs. #باطنة
Do not prescribe an ACEI and ARB together or in combination with a direct renin inhibitor. This increases the risk of hyperkalemia and renal dysfunction and does not provide additional benefit.