Medical Treatment Therapy for Viral Encephalitis

a. General Therapy:
1 Bed rest total.
2 When the estimated infection due to enteroviruses personal hygiene should be observed.
3 Headache and high heat necessary to handle the administration of antipyretics to be given acetaminophen / paracetamol.

4 If there is a rise in intracranial can be done:
        i. Patient's head is elevated ± 300
       ii. Limit fluid administration
       iii. Do hyperventilation until PCO2 to 25 mmHg
       iv. Medicine:
              - Mannitol -> given intravenously at a dose of 1.5-2.0 g / kg over 30-60 minutes, repeated every 8-12 jam. Gliserol, through a nasogastric tube, 0.5-1.0 ml / kg diluted with two parts orange juice, may be repeated every 6 hours for a long time
             - Dexamethasone 2 -> 0.15 to 1.0 mg / kg / day in 3 divided doses iv.
5 When seizures, can be given:
       i. Phenytoin
       ii. Phenobarbital 5-8 mg / kg / 24 hours. If seizures occur frequently, should be given Diazepam (0.1-0.2 mg / kg) IV, in the form of infusion for 3 minutes.
6 Fixing homeostasis: intravenous fluids D5 - 1/2 or D5 S - 1/4 S (depending on age) and oxygen administration.

b. Special treatment.
1. CausativeTreatment . Prior to successfully get rid of bacterial etiology of parenteral antibiotics. Treatment for encephalitis due to herpes simplex virus infection is intravenous acyclovir, 10 mg / kg to 30 mg / kg per day for 10 days.
2. Interferon
These substances inhibit viral replication. Can be given intravenously,  intraventricular, or intrathecal on rabies.
Drugs choice therapy for Viral Encephalitis
Drugs choice therapy for Viral Encephalitis

c. non-pharmacologic
1 Physiotherapy and rehabilitative efforts
2 high-calorie protein food

No comments:

Post a Comment

Related Posts Plugin for WordPress, Blogger...