Summary of treatment of malaria and anaemia in pregnancy

Malaria and anaemia in pregnancy woman

Keys
U. Malaria
Severe malaria
Cerebral malaria
Treatment

Malaria a parasite acute and chronic protozoan infection caused by parasite known as plasmodium species which affects RBC.

4species of plasmodium
P. fasciparum
P. Vivax
P. Malariea
P. Ovale

U. Malaria features
Headache
Fatigue(mchovu)
Lassitude (lethargy or lack of energy)
Joints and muscles aches/pain(kuuma)
Abd discomfort

Followed by
Chills
Fever
GBW
Anorexia and Vomiting
Worsening (mbaya) of malaise

S. Malaria features
Prostration or extremely weakness
Acute renal failure
Jaundice
Respiratory distress
Convulsions
Impaired consciousness
Severe anaemia
Collapse
Bleeding tender
Hemoglobinuria
Hypoglycemia
Parasatemia
Pulmonary edema

Treatment
U. malaria
     First tremister quinine oral and artemether Lumefentrine
  
Second and third tremister artemether plus Lumefentrine

S. Malaria
I.v quinine 600mg@ 10mg/kg dilute with 5-10mls in a 5% of dextrose infuse over  4hrs then 8hrs until the patient able to drink orally 300mg@ for seven days

If the patient is anaemic collect anaemia give quinine intramuscular  until anemia collected

Prevention
Use insects treated net
Use intermittent preventive treatment

Drug of choice
Sp  (sulfadoxine/primethamine)
Bid or twice a day three tablet
First dose Btn 20-24 weeks seconds dose Btn 28-32 weeks

Posted by
Welfare Jambo