Training Manual for Preventive Malaria - Ministry of Health

More documents

Recommendations

Info

CASE STUDY – MANAGEMENT OF A PREGNANT WOMAN WITH COMPLICATED MALARIA Directions The participants should go into small groups. The participants should read and analyse this case study individually and then answer the case study questions as a group. The groups should then share their answers. Scenario: Victoria Ablor is 24 years old and reported at the antenatal clinic looking ill and weak. During history taking she told the midwife that she was three months pregnant and had been ill for the past week and although she had taken some medication she had not improved. On examination, she had yellowish discolouration of the eyes and temperature was 39 o C. Questions for discussion: 1. If you were the midwife, what important physical examination would you carry out? 2. What tests would you carry out and why? 3. How will you treat her if there are malaria parasites in the blood? 4. What advice would you give to Victoria after treatment and why? 5. What measures would you take to ensure that Victoria recovers completely? Answers 1. Let her lie down and be comfortable. a. Assess: Ascertain if she is pregnant and check her gestational period. b. Examine: Check her BP, temperature, Pulse and respiration and record it. 2. Laboratory Investigation: A blood test can be done to isolate malaria parasites in a blood film examination. b. Other tests can be done to exclude other conditions that can cause fever like; • Bladder infection • Pneumonia • Typhoid • Intra uterine infections (Chorioamnionitis) 3. Call the medical officer, if she is suspected to be suffering from complicated malaria. The doctor will put her on quinine through any of the following routes; Intravenous Administration Of Quinine Quinine Hydrochloride, 10mg/kg body weight of salt (max. 600mg) IV 8 hourly in 5-10ml/Kg of 4.3% dextrose in 0.18% normal saline or in 5% dextrose over 4 - 8 hours. IM Administration of Quinine Deep IM injection at a dose of 10 mg/Kg body weight of Quinine 8 hourly using a dilution of;- 100mg/ml Quinine in sterile water for injection or normal saline 44
(If the diluted volume is more than 5ml, divide the volume into 2) Oral Administration Oral Quinine at 10mg per body weight every 8 hours to complete 7 days of treatment i.e. 600mg (2 tablets) every 8 hours, for 7 days. OR If there is no medical officer, She would be referred with a note detailing history and any treatment given. She should be accompanied if possible 4. a. Counsel her on the need to go to the clinic for antenatal care so that she can be put on SP under IPT b. If she cannot take any sulpha drug, she should use ITNs strictly till her postnatal period ends. c. Discuss Birth Preparedness and Complication readiness plan with her. 5. a. Ensure that she takes her treatment religiously. b. Ensure intake of a good diet. c. Ensure she gets enough rest. d. Ensure intake of fluids and juices. 45
Page 1 and 2: INTERMITTENT PREVENTIVE TREATMENT (
Page 3 and 4: curative treatment doses of an effe
Page 5 and 6: TABLE OF CONTENTS CONTENT PAGE COVE
Page 7 and 8: INTRODUCTION Background Malaria is
Page 9 and 10: • Cover doors and windows with wi
Page 11 and 12: cells. About 1 to 2 weeks later, th
Page 13 and 14: 1.4: INTERACTION BETWEEN HIV/AIDS A
Page 15 and 16: ROLE-PLAY: MALARIA DURING PREGNANCY
Page 17 and 18: 2a.1: FOCUSED ANTENATAL CARE Focuse
Page 19 and 20: 2A.3: SCHEDULING OF VISITS It is re
Page 21 and 22: UNIT 2B COMMUNICATION AND COUNSELLI
Page 23 and 24: 2B.3: BIRTH PREPAREDNESS AND COMPLI
Page 25 and 26: I will make sure she finds out how
Page 27 and 28: i. Explain all procedures/actions a
Page 29 and 30: These effects are caused by malaria
Page 31 and 32: Step 2 ° Give pregnant woman 1 st
Page 33 and 34: ALTERNATIVE MEASURES FOR THOSE WHO
Page 35 and 36: UNIT 4 CASE MANAGEMENT This unit ou
Page 37 and 38: Table: Treatment of Uncomplicated M
Page 39 and 40: Oral Administration Oral Quinine at
Page 41 and 42: CASE STUDY : TREATING A CLIENT WHO
Page 43: -- Begin treatment for uncomplicate
Page 47 and 48: LEARNING GUIDE FOR TREATMENT OF UNC
Page 49 and 50: 16. If she has any of the danger sy
Page 51 and 52: - % of antenatal clinic staff train
Page 53 and 54: CASE STUDY: RECORD KEEPING Directio
Page 55 and 56: UNIT 5B ADVERSE DRUG REACTION MONIT
Page 57 and 58: 5B.4: MONITORING OF ADVERSE EFFECTS
Page 59 and 60: o Other medical products (drugs, he
Page 61 and 62: Delivery (Maternity) Book This reco
Page 63 and 64: Addendum to Midwifery Monthly Retur
Page 65 and 66: IN STRICT CONFIDENCE Adverse Event
Page 67 and 68: APPENDIX F: MONITORING AND EVALUATI
Page 69 and 70: ADD UP TO 20 QUESTIONS 69
Page 71 and 72: C. Check the gestational age of the
Page 73: A. Oedema B. Dark coloured-urine C.

Training Manual for Preventive Malaria - Ministry of Health

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?