An adult patient and two school-age children have recently returned from 2 months in Africa. While in Africa, the patient misplaced the preventive medication for malaria. (Learning Objectives 1, 2, 3, and 5)
A. Life cycle of the protozoan causing malaria:
Plasmodium species involve several different stages both in the insect and the vertebrate host. These stages include sporozoites, which are injected by the insect vector into the vertebrate host's blood. Sporozoites infect the host liver, giving rise tomerozoites and (in some species) hypnozoites.
Sporozoites can infect the liver cells and it can mature into schizonts which rupture and release merozoites and it can infect red blood cells. Blood stage parasites are responsible for clinical manifestations of the disease.
B. Goal of treatment of malaria:
The goal of malaria treatment is to clear all malaria parasites from the body. Reduce the transmission of infections to others by reducing the infectious reservoir, and to prevent the emergence and spread of resistance to anti malarial medication. This should be done promptly and correctly.
C. Adverse reactions of drugs used to treat malaria this includes:
Headaches
Muscle aches
Weakness
Nervousness
Irritability
Dizziness
Major neurological side effects: confusion and seizures.
D. Common protozoal infections, cause and clinical presentation:
The patient suffering from malaria is likely to complain of fever, chills, headache, muscular aching, weakness, vomiting, cough, diarrhoea and abdominal pain.
E. Considerations before administering antiprotozoal agents:
On should consider if adult patient is pregnant if she is a woman.
On should also consider if all the patients are allergic to the antiprotozoal drugs.
On should also consider the ages of the two children.
An adult patient and two school-age children have recently returned from 2 months in Africa. While...
An adult patient and two school-age children have recently returned from 2 months in Africa. While in Africa, the patient misplaced the preventive medication for malaria. (Learning Objectives 1, 2, 3, and 5) What is the life cycle of the protozoan that causes malaria? What is the goal of treatment for malaria? What are the common adverse reactions of drugs used to treat malaria? What other common protozoal infections, including cause and clinical presentation, could this patient develop from the...
A patient is being treated with combination antiviral drugs for HIV and locally active antiviral drugs that include zidovudine and acyclovir. The student is preparing a 5-minute presentation on antiviral agents for clinical preconference. The student has to prepare medication information about the antiviral medications that are being administered to the client. (Learning Objectives 2, 3, and 5) What are the key characteristics of common viral infections? What are the common adverse effects of zidovudine? What key nursing considerations should...
What should have Merck & Co, Inc done differently in regards to river blindness? Merck & Company, Inc.: Having the Vision to Succeed by Stephanie Weiss and David Bollier An Expensive Care for a Poor Market In 1978, Dr. P. Roy Vagelos, then head of the Merck research labs, received a provocative memorandum from a senior researcher in parasitology, Dr. William C. Campbell. Dr. Campbell had made an intriguing observation while working with ivennectin, a new antiparasitic compound under investigation...