Treatment of Cholera

Treatment of cholera is very important when you have to select between complications vs early recovery. So for the Treatment of cholera we have to divide our topic between Specific Treatment and Symptomatic treatment. Because it is very important to treat the main disease as well as symptoms involved in Cholera. Because when ever a disease is said to occur it comes with the main root cause of the disease and the symptoms that are appearing due to that cause.

Our main Objective on I-Noesis is to explain treatment in very quick, easy and short way.

Specific Treatment of Cholera

Antibiotics in Treatment of Cholera

Ciprofloxacin 500 mg (30mg per Kg body weight 12 hourly for 3 days in children) oral morning and evening(BD) for 5-7 days.

Sulfamethoxazole + Trimethoprim 800/160 mg (10-15 mg / Kg per day in children) in two divided doses(BD) .

Symptomatic Treatment of Cholera

Treatment of Dehydration in Cholera

Treating Dehydration is important because of water losses out of body or decrease intake. To buy Oral Rehydration Solution Click Here.

IV infusions are preferred Infusion Ringer lactate

Add KCl (Potassium Chloride) in infusion: Should only be added in case of hypokalemia. Oral correction can not be done rapidly. Direct IV injection should be prevented instead IV with infusion should be used. Adult does 40 mmol (3 ampules of 10ml and 10% KCL, containing 13.4 mmol/ampules) should be added in Ringer Lactate 1 litter over 4 hourly should not exceed 10 mmol/hour. Child Dose over 1 month 0.2 mmol/kg/hr over 3 hours . Each mmol of KCL diluted in 25 ml of Ringer lactate. Check for bradycardia or tachycardia from radial pulse.

Add glucose in infusion

give all these immediately (STAT)

Treatment of Fever in Cholera

Drink plenty of water.

Avoid concentrated fluids like tea , coffee and alcohols as these can increase dehydration.

Sponging of dry exposed skin should be done with tepid water for cooling effect to remove heat from body. For cooling product Click Here .

Avoid taking cold bath as that can increase vasoconstriction in blood vessels of skin . As your skin is source of heat removal with the assistance of blood vessels so if blood vessels are constricted heat traps in core body organs which can increase organs damage. Moreover cold causes shivering which can increase production of heat .

Make sure you take plenty of rest and and bed rest.

If you have log hairs and live in warmer area than you may need a hair cut to easily dissipate heat from your head.

Paracetamol in adults 500-1000 mg every 4 hourly to 6 hourly as needed to relieve fever up to 4000mg in 24 hours. In Children 1 month to less than 12 years age 15 mg per Kg in 4 to 6 divided doses but not more than 4 doses in 24 hours. If you want to buy paracetamol click here.

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