Treatment of Typhoid Fever is very important when you have to select between complications vs early recovery. So for the Treatment of Typhoid Fever 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 Typhoid Fever. Because whenever a disease affects our body. 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 Typhoid Fever
Antibiotics in Treatment of Typhoid Fever
Ciprofloxacin 500 mg (30mg per Kg body weight 12 hourly for 3 days in children) oral morning and evening(BD) for 14 days.
OR
Ceftriaxone 1 gram IV in morning and evening (BD) for 7 days.
OR
Levofloxacin 500 mg (30mg per Kg body weight 12 hourly for 3 days in children) oral morning and evening(BD) for 14 days. or Levofloxacin 750 mg once daily for 14 days.
Multi-Drug Resistant Typhoid Fever antibiotics
Ceftriaxone 2 grams IV in morning and evening (BD) for 10 to 14 days
OR
Azithromycin 500 mg IV Once a day (OD) for 14 days
Treatment of Carrier Typhoid fever
Ciprofloxacin 500mg or 750 mg oral in morning and evening (BD) for 4 weeks.
OR
Norfloxacin 400mg oral in morning and evening (BD) for 28 days(4 weeks)
or administer antibiotics according to drugs susceptibility .
Cholecystectomy may also cure.
Symptomatic Treatment of Typhoid Fever
Patient should be admitted in hospital who is unable to take orally with sever vomiting and/or dehydration .
Pass Iv Line.
Intake Output monitoring.
Treatment of Dehydration in Typhoid Fever
Treating Dehydration is important because of water losses out of body or decrease intake. To buy Oral Rehydration Solution Click Here.
IV infusions preferred is 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 if needed.
give all these urgently (STAT) in case of sever dehydration.
Treatment of Fever in Typhoid Fever
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. Use 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 . When blood vessels bring blood to the skin heat is emitted from skin . 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 especially 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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