Malaria

Question 1

How to help prevent bites

Answer 1

• Mosquito net coated with permethrin
• DEET 20 to 50% cream

Question 2

What is the minimum age for DEET cream

Answer 2

2 months old +

Question 3

Is DEET cream fine for pregnancy and breastfeeding

Answer 3

Yes

Question 4

When should you apply DEET cream

Answer 4

after suncream

Question 5

Why do need high SPF cream when using with DEET cream

Answer 5

because DEET cream reduces potency of suncream

Question 6

Is DEET cream safe for ingestion

Answer 6

No
(wash hands)

Question 7

Which Antimalerial drug only need to be used 1 to 2 days before travel

Answer 7

• Malarone
• Doxycycline

Question 8

Which Antimalerial drugs should be used for 4 weeks after travel

Answer 8

• Doxycycline
• Chloroquine
• Proguanil
• Mefloquine

Question 9

Which Antimalerial drugs need to be used ONCE DAILY

Answer 9

• Malarone
• Doxycycline
• Proguanil

Question 10

Which Antimalerial drugs need to be used ONCE WEEKLY

Answer 10

• Chloroquine
• Mefloquine

Question 11

Which Antimalerial drugs can be used long term and do not have a 1 or 2 year maximum

Answer 11

• Chloroquine
• Proguanil

Question 12

How long within returning can an illness still be considered malaria

Answer 12

1 year (especially 3 months)

Question 13

What does being without a spleen do to Malaria risk

Answer 13

increases

Question 14

Which antimalarial drugs can you use while pregnant

Answer 14

• Chloroquine
• Progruanil

Question 15

What should be co-prescribed while taking antimalarials while pregnant

Answer 15

Folic Acid 5mg
(to reduce neural tube defects)

Question 16

Which antimalarials should you avoid as an Epileptic and why

Answer 16

Quinines

(because they increase seizure threshold)

Question 17

When should a patient on Warfarin start antimalarial treatment

Answer 17

2 to 3 weeks before going

Question 18

If a person that is taking warfarin, what should be checked before leaving to a malarial destinaiton and when should it be checked

Answer 18

INR levels

Before treatment
==> 7 days after starting
====> After finishing

Question 19

What need to happen if a patient is on Warfarin and is taking prolonged antimalarial treatment

Answer 19

INR should be checked regularly

Question 20

Which antimalarial medication should you stop if psychiatric disorders develop

Answer 20

Mefloquinine

Question 21

Which antimalarial medication increases convulsion threshold

Answer 21

Quinines
- mefloquine
- Chloroquine

Question 22

Which antimalarial medication can be retinotoxic

Answer 22

Chloroquine
(report eye effects)

Question 23

Which antimalarial medication can cause renal impairment

Answer 23

Proguanil
(reduce dose when taking)

Question 24

What do you need to provide to a patient when giving standby treatment

Answer 24

written instructions:
- how to use
- side effects
- symptoms
- when to seek help

Question 25

What are symptoms of Malaria

Answer 25

• > 38 degree temp
• Develops 7 days + after arriving