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High - Infections > Malaria > Flashcards

Malaria Flashcards

1
Q

When should you avoid malaria?

A

Asplenic + pregnant

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2
Q

What are the symptoms of malaria?

A
  • High temp >38
  • Chills
  • Headache
  • Muscle aches
  • Di + vom
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3
Q

What is used for bite prevention?

A
  • Personal protection (Counsel: warn about importance of avoiding mosquito bites)
  • Net impregnated w permethrin
  • DEET 20-50% 2M (apply sunscreen first)
  • Long sleeves + trousers after dusk
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4
Q

What drugs are used for chemoprophylaxis?

A

Chloroquine
- MHRA: chloroquine: psychiatric reactions

Chloroquine + proguanil

Doxycycline 12+
- Counsel: 100mg OD: take 1-2 before entering endemic area + continue for 4 weeks after leaving

Malarone

Mefloquine
- Counsel: report new or worsening mental health symptoms, be careful when driving

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5
Q

Which drugs do you avoid in epilepsy?

A

Avoid chloroquine + mefloquine

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6
Q

Which drugs do you avoid in renal impairment?

A
  • Avoid proguanil
  • Malarone eGFR <30
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7
Q

Which drugs do you take when pregnant?

A
  • Chloroquine + proguanil (5mg folic acid daily)
  • Doxycycline CI
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8
Q

How do you take malaria prophylaxis when taking warfarin?

A
  • Start 2-3 weeks before travel
  • Stable INR: monitor before, 7 days after start + completion
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9
Q

What is the treatment after being dianosed with malaria?

A

Standby treatment eg quinine
- Access to medical care 24+H away
- Written instructions: if fever >38 for 7+ days - urgent care

Any illness w/in 1 year/3 months of return
- Counsel: promptly see doctor if any illness + mention malaria exposure

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10
Q

Regimes: malarone

A
  • Before travel: 1-2 days
  • After travel: 1 week
  • LT use: 1 year
  • Avoid: severe RI
  • How to take: OD
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11
Q

Regimes: doxycycline

A
  • Before travel: 1-2 days
  • After travel: 4 week
  • LT use: 2 year
  • Side effect: photosensitive, esophageal irritation
  • Avoid: pregnancy + breast feeding, under 12
  • How to take: OD
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12
Q

Regimes: mefloquine

A
  • Before travel: 2-3 weeks
  • After travel: 4 week
  • LT use: 1 year
  • Side effect: psychiatric reactions
  • Avoid: epilepsy
  • How to take: once weekly
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13
Q

Regimes: proguanil

A
  • Before travel: 1 week
  • After travel: 4 week
  • Avoid: RI
  • How to take: OD
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14
Q

Regimes: chloroquine

A
  • Before travel: 1 week
  • After travel: 4 week
  • Side effect: psychiatric reactions
  • Avoid: epilepsy, severe RI
  • How to take: once weekly
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15
Q

Regimes: chloroquine + proguanil

A
  • Before travel: 1 week
  • After travel: 4 week
  • Side effect: psychiatric reactions
  • Avoid: epilepsy, RI
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High - Infections (12 decks)

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