training module for medical officers primary health centre - NVBDCP

Advice to the patients / caretakersOnce a suspected case is diagnosed positive by RDT or microscopy, treatment with the first doseshould be ensured in the presence of the health –care provider / worker. The blister pack withremaining tablets is given to the patient / caretaker with clear instructions to take the completetreatment. If the treatment is not completed as prescribed, the disease may manifest again withmore serious features and may be more difficult to treat.The patient under 5 years or pregnant may be asked to wait for 15 minutes after taking the firstdose. If vomiting occurs within this period, let the patient rest for 15 minutes and give the first doseagain. If the patient vomits again, refer the patient immediate to the nearest Doctor/ CHC/ Hospital.The patient may report back immediately, if there is no improvement after 24-72 hours, if thesituation gets worse or the fever comes back.That regular use of a mosquito net (preferably insecticide treated net) is the best way to preventmalaria.Maintenance of recordsAppropriate record should be maintained by all healthcare providers and the local authority may beinformed if there is increase in number of cases.Some Dont’s in malaria case managementDo not give anti malarials on empty stomachDo not use corticosteroidsDo not give intravenous. mannitolDo not use heparin as anticoagulantDo not administer adrenalineDo not overhydrate38