Use of intravenous quinine sulfate remains to treat severe malaria Essay

Use of intravenous quinine sulfate remains to treat severe malaria - Essay Example She did not take the malaria tablets but instead took her son’s leftovers tablets after becoming sick. She at first presents with a normal mental state of mind but is febrile and ill appearing. She soon becomes obtunded. The laboratory tests clearly reveal that important anion-gap acidosis, but the blood smear is not at present in progress. The objective related critical parts include the following, to identify that the patient is suffering and is in risk and to order the relevant tests for severe malaria and other diseases in the differential diagnosis, to identify the seizure, com, and acidosis as the manifestations of the severe malaria, and more so to remember to look for or treat hypoglycemia. Another thing is to offer supportive care , including the fluids, anticonvulsants and end tracheal intubation as needed to begin on the empiric therapy for severe malaria with the intravenous articulate to identify the complications of the treatment, to also seek for the outside ass istance of the malaria care, including consulting those individuals who are specialized. Over the years, the intramuscular quinine has been the first-line treatment for the treatment of malaria. Since the intravenous quinine is not available in the US, guanidine is the only drug of choice. This is a more effective drug than quinine and is less likely to bring about hypoglycemia, but is endemic and hence calls for continuous monitoring. In case of severe malaria with elevated parasitemia, which do not respond clearly to the anti-malarial drugs, an individual may consider an exchange transfusion, although there is no strong clinical evidence to support its issue. Thick and... The intention of this study is severe malaria as prevalent globally, yet as an uncommon disease posing a challenge to education in nonendemic countries. Severe malaria refers to the malaria with signs of end organ dysfunction, as manifested by comma, pulmonary edema, renal failure, circulatory collapse, or severe anemia. Malaria accounts for over a million deaths per year. A very useful aspect of the severe malaria case management is pre-referral treatment that is administered to patient with severe malaria before they are referred to a health facility as explained by Beauchamp & Childress. This is crucial, as most malaria deaths, particularly in Africa, take place outside the hospitals, either in the communities or at a lower level of care. Studies evaluating the role rectal articulate and as a pre-referral treatment have found that these options are highly efficacious. However, the biggest challenge faced in resource-limited settings has been the non-availability of these preparati ons in health centers. The author of the paper has tabled a review of research in regard to the effectiveness of Intravenous quinine as a treatment for the severe malaria and hoe the considerations of the empirical understanding on this subject has helped shaped my evidence-based practice for the future as stated by Holland & Rees. In addition he has acknowledged the understanding of the other four fundamental patterns of knowing is important to the awareness of the complexity and diversity of the nursing understanding.